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Incidental bronchial injury by soft coagulation
Tomoki Shibano1, Shunsuke Endo1, Shinichi Otani1
1Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
Journal of Thoracic Disease
|September 19, 2015
Summary
Soft coagulation, a hemostat system, can cause bronchial injury and bronchopleural fistula in thoracic surgery. This report highlights the risks of this electrosurgical device, urging caution during its application.
Area of Science:
- Thoracic Surgery
- Electrosurgery
- Medical Device Safety
Background:
- Soft coagulation is an electrosurgical hemostat system designed to prevent tissue carbonization by regulating voltage below 200 V.
- Despite its safety features, the minimally invasive technology carries a risk of unintended tissue damage during surgical procedures.
Purpose of the Study:
- To report adverse events associated with the soft coagulation system in thoracic surgery.
- To raise awareness regarding the potential risks of soft coagulation, specifically bronchial injury and bronchopleural fistula.
Main Methods:
- Case report of three patients experiencing bronchial injury after soft coagulation use.
- Clinical review of surgical outcomes and device performance.
Main Results:
- Three patients sustained bronchial injuries attributed to the soft coagulation system.
- One patient developed a bronchopleural fistula as a complication.
Conclusions:
- The soft coagulation system, while convenient, poses a risk of significant bronchial injury in thoracic surgery.
- This study serves as a critical warning for surgeons regarding the potential adverse effects of this electrosurgical device.
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