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[Do bipolar scissors increase postoperative adhesions? An experimental double-blind randomized trial].
D Forestier1, K Slim, J Joubert-Zakeyh
1Service de chirurgie générale et digestive, Hôtel-Dieu, boulevard Léon-Malfreyt, 63058 Clermont-Ferrand, France.
Annales De Chirurgie
|March 28, 2003
Summary
Bipolar scissors (PowerStar) did not increase postoperative adhesions in rabbits compared to monopolar cautery. Pathological examination revealed less peritoneal burn damage with bipolar scissors, suggesting potential benefits in reducing surgical injury.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Adhesion Prevention
Background:
- Bipolar scissors are theorized to reduce surgical bleeding.
- Concerns exist regarding potential peritoneal burn damage and adhesion formation with bipolar electrocautery.
Purpose of the Study:
- To evaluate if bipolar scissors (PowerStar) increase intraperitoneal adhesions compared to monopolar cautery.
- To assess the extent of peritoneal burn damage associated with each device.
Main Methods:
- A double-blind, randomized trial involving 36 rabbits undergoing laparotomy.
- Standardized surgical procedures were performed using either sharp scissors with monopolar coagulation or bipolar scissors.
- Adhesions were measured and scored 10 days post-surgery; pathological examination of burn damage was conducted.
Main Results:
- No significant difference in the length or score of intraperitoneal and parietal adhesions between the two groups.
- Pathological examination indicated less pronounced burn damage with the use of bipolar scissors (PowerStar).
Conclusions:
- Bipolar scissors do not appear to increase postoperative adhesions in rabbits.
- Bipolar scissors likely induce less burn damage compared to monopolar cautery.
- The anticipated benefit of decreased adhesion formation due to reduced bleeding was not observed in this study.