PlasmaKinetic bipolar vessel sealing: burst pressures and thermal spread in an animal model.

Published

Journal Article

BACKGROUND AND PURPOSE: Laparoscopic bipolar instruments are commonly employed to cauterize and divide tissue. A next-generation bipolar device has been developed that employs vapor pulse coagulation energy. We assessed the vessel-sealing capability of this device and quantified thermal spread during application. MATERIALS AND METHODS: Bilateral laparoscopic nephrectomy was performed on six common swine >25 kg. Five-millimeter clips and surgical staplers (US Surgical, Norwalk, CT) were utilized to perform nephrectomy on one side, while the Gyrus PlasmaKinetic bipolar device (Minneapolis, MN) was employed for the contralateral nephrectomy. Vessel-sealing capabilities were assessed via burst-pressure studies. The extent of thermal spread was measured after tissue fixation and hematoxylin and eosin staining. RESULTS: Surgical clips/vascular staplers adequately controlled/sealed renal hilar vessels with burst pressures nearing 300 mm Hg. The Gyrus bipolar device reliably sealed and divided renal arteries

Full Text

Duke Authors

Cited Authors

  • Pietrow, PK; Weizer, AZ; L'Esperance, JO; Auge, BK; Silverstein, A; Cummings, T; Preminger, GM; Albala, DM

Published Date

  • January 2005

Published In

Volume / Issue

  • 19 / 1

Start / End Page

  • 107 - 110

PubMed ID

  • 15735394

Pubmed Central ID

  • 15735394

International Standard Serial Number (ISSN)

  • 0892-7790

Digital Object Identifier (DOI)

  • 10.1089/end.2005.19.107

Language

  • eng

Conference Location

  • United States