Computerized bipolar diathermy with scissors and forceps in cutaneous surgery.

Area of Science:

• Dermatologic Surgery
• Surgical Technology
• Electrosurgery

Background:

• Bipolar diathermy provides effective tissue coagulation with reduced lateral thermal injury compared to monopolar diathermy.
• Bipolar diathermy eliminates risks associated with cardiac pacemakers and joint prostheses, unlike monopolar diathermy.
• Advancements in electrosurgical devices are crucial for improving surgical outcomes and patient safety.

Purpose of the Study:

• To evaluate a novel computerized bipolar diathermy system designed for simultaneous cutting and coagulation in dermatologic procedures.
• To assess the efficacy and safety of this new technology in a clinical setting.
• To determine if computerized control enhances the performance of bipolar diathermy.

Main Methods:

• A computerized bipolar diathermy unit was utilized, connected via a divided cable to specialized scissors and forceps.
• The system featured automatic activation upon tissue contact and integrated microcomputer control.
• Tissue impedance was measured in real-time to automatically regulate and terminate current delivery for precise coagulation.

Main Results:

• The computerized bipolar diathermy system was successfully employed in over 200 dermatologic surgery cases.
• Significant reductions in operative time were observed.
• Enhanced hemostasis and minimized tissue adherence to instruments were key benefits noted during procedures.

Conclusions:

• The study recommends insulated scissors in conjunction with computerized bipolar diathermy for dermatologic surgery.
• This combination ensures safe and effective tissue coagulation and cutting.
• The technology represents a valuable advancement for improving efficiency and outcomes in dermatologic procedures.