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Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices.

Publication ,  Journal Article
Okhunov, Z; Yoon, R; Lusch, A; Spradling, K; Suarez, M; Kaler, KS; Patel, R; Hwang, C; Osann, K; Huang, J; Lee, T; Landman, J
Published in: J Endourol
April 2018

INTRODUCTION: We evaluated and compared five currently available energy-based vessel sealing devices to assess typical surgical metrics. METHODS: We tested Caiman 5 (C5), Harmonic Scalpel Ace Plus (HA), Harmonic Ace +7 (HA7), LigaSure (LS), and Enseal G2 (ES) on small (2-5 mm), medium (5.1-7 mm), and large (7.1-9 mm) vessels obtained from 15 Yorkshire pigs. Vessels were randomly sealed and transected. We recorded sealing and transection time, charring and carbonization, thermal spread, and bursting pressure (BP). Specimens were sent for histopathologic evaluation of seal quality and thermal spread. RESULTS: A total of 246 vessels were evaluated: 125 were arteries and 121 were veins. There was no difference in BPs for small size arteries. For medium arteries, C5 provided the highest BP (proximal and distal jaw), followed by HA7, ES, LS, and HA [1740, 1600, 1165, 1165, 981, and 571 mm Hg, respectively, HA

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Published In

J Endourol

DOI

EISSN

1557-900X

Publication Date

April 2018

Volume

32

Issue

4

Start / End Page

329 / 337

Location

United States

Related Subject Headings

  • Veins
  • Vascular Surgical Procedures
  • Urology & Nephrology
  • Swine
  • Pressure
  • Hemostasis, Surgical
  • Arteries
  • Animals
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

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Okhunov, Z., Yoon, R., Lusch, A., Spradling, K., Suarez, M., Kaler, K. S., … Landman, J. (2018). Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices. J Endourol, 32(4), 329–337. https://doi.org/10.1089/end.2017.0596
Okhunov, Zhamshid, Renai Yoon, Achim Lusch, Kyle Spradling, Melissa Suarez, Kamaljot S. Kaler, Roshan Patel, et al. “Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices.J Endourol 32, no. 4 (April 2018): 329–37. https://doi.org/10.1089/end.2017.0596.
Okhunov Z, Yoon R, Lusch A, Spradling K, Suarez M, Kaler KS, et al. Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices. J Endourol. 2018 Apr;32(4):329–37.
Okhunov, Zhamshid, et al. “Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices.J Endourol, vol. 32, no. 4, Apr. 2018, pp. 329–37. Pubmed, doi:10.1089/end.2017.0596.
Okhunov Z, Yoon R, Lusch A, Spradling K, Suarez M, Kaler KS, Patel R, Hwang C, Osann K, Huang J, Lee T, Landman J. Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices. J Endourol. 2018 Apr;32(4):329–337.
Journal cover image

Published In

J Endourol

DOI

EISSN

1557-900X

Publication Date

April 2018

Volume

32

Issue

4

Start / End Page

329 / 337

Location

United States

Related Subject Headings

  • Veins
  • Vascular Surgical Procedures
  • Urology & Nephrology
  • Swine
  • Pressure
  • Hemostasis, Surgical
  • Arteries
  • Animals
  • 3202 Clinical sciences
  • 1103 Clinical Sciences