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An innovative bipolar instrument for laparoscopic surgery.
Thomas L Lyons1, Wendy K Winer
1Center for Women's Care & Reproductive Surgery, Atlanta, Georgia, USA cwcrs@mindspring.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 29, 2005
Summary
The BiCOAG bipolar dissector/grasper significantly reduces instrument changes and operating room time in laparoscopic surgery compared to traditional forceps. This makes it a more cost-effective and efficient tool for advanced procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Bipolar electrosurgery is a key method for achieving hemostasis during laparoscopic procedures.
- Traditional instrumentation can be limiting in advanced laparoscopic operations.
Purpose of the Study:
- To describe and evaluate a novel bipolar device, the BiCOAG bipolar dissector/grasper.
- To compare its versatility and cost-effectiveness against traditional laparoscopic instrumentation.
Main Methods:
- Retrospective, case-controlled analysis (design classification II-2).
- Procedures performed by a single surgeon in a private practice.
- Comparison of BiCOAG bipolar dissector/grasper versus traditional Kleppinger bipolar forceps in 16 matched patients via videotape review.
Main Results:
- The BiCOAG group experienced 4 times fewer instrument changes per case.
- Significantly decreased operating room times were observed with the BiCOAG device.
- Reduced operating time translated to a cost-effective measure.
Conclusions:
- The BiCOAG bipolar dissector/grasper is an efficient instrument for laparoscopic surgery.
- It offers a cost-effective alternative to traditional bipolar forceps in advanced procedures.