Bipolar electrosurgery: Convention and innovation
Bipolar electrosurgery: Convention and innovation
复制标题
DOI：
10.1097/grf.0b013e318161e7ee
复制
发表时间：
2008-03-01
影响因子：
1.5
通讯作者：
Brill, Andrew I.
中科院分区：
文献类型：
--
作者：
Brill, Andrew I.
双极电刀是妇科常用手术器械的一部分，可提供隔离的热效应和血管闭塞。然而，终点并不总是可预测的，因为止血可能需要连续应用，并且热损害可能显著扩展到目标区之外。专利容器的无意横切不能完全减少。双极技术的最新进展提供了更可预测的血管闭塞和更少的热损伤。到目前为止，已经有三种新型的双极平台，要么使用工作部位的阻抗反馈来调节输出，作为低电压的脉冲电流，要么使用爪子内的纳米技术进行局部调节。
Bipolar electrosurgery is part of the customary gynecologic surgical armamentarium providing isolated thermal effects and blood vessel occlusion. However, end points are not always predictable as hemostasis may require contiguous applications and thermal damage can significantly expand beyond the target zone. Unintentional transection of a patent vessel cannot be entirely reduced. Recent advances in bipolar technology provide more predictable vessel occlusion with less thermal damage. To date, there are 3 novel bipolar platforms, using either impedance feedback from the operative site to moderate output as pulsed current with lower voltage or by local regulation using nanotechnology within the jaws.