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Comparison between resection, bipolar coagulation and Plasmajet®: A preliminary animal study.
Nicolas Bourdel1, Pauline Chauvet1, Horace Roman2
1Department of Gynecologic Surgery, CHU Estaing, 1 place Lucie Aubrac, 63058 Clermont-Ferrand Cedex 1, France; CICE (Centre International de Chirurgie Endoscopique), Faculty of Medicine, Clermont-Ferrand, France(1).
Summary
Surgical resection of peritoneal lesions resulted in perfect healing and no adhesions. Plasmajet® 10 low at 10mm distance offers a promising alternative, achieving superficial destruction with minimal adhesion formation.
Area of Science:
- Surgical Innovation
- Gastroenterology
- Biomedical Engineering
Background:
- Peritoneal lesions require effective management to prevent post-operative complications.
- Current surgical techniques for peritoneal lesions vary in efficacy and complication rates.
- Adhesion formation remains a significant concern after peritoneal interventions.
Purpose of the Study:
- To compare conventional surgical techniques with Plasmajet® (PJ) for peritoneal lesion management.
- To evaluate healing outcomes and post-operative adhesion formation for each technique.
- To determine the optimal parameters for Plasmajet® use in peritoneal surgery.
Main Methods:
- A prospective experimental animal study was conducted using female pigs (20-25kg).
- Eleven 2cm² peritoneal areas per side were treated with control, surgical resection, bipolar coagulation, or Plasmajet® (PJ) at various settings and distances.
- Animals were reoperated after 14 days to assess macroscopic healing, adhesion score, and histological parameters.
Main Results:
- Surgical resection and control areas showed perfect healing with no adhesions.
- Bipolar coagulation resulted in adhesions in 50% of cases.
- Plasmajet® 10 low (PJ10L) at 10mm distance demonstrated no adhesion formation and complete superficial destruction.
Conclusions:
- Surgical resection is a highly effective method for peritoneal lesion management, yielding excellent healing and no adhesions.
- Plasmajet® 10 low (PJ10L) at a 10mm distance presents a viable alternative to resection, offering effective lesion destruction with a low adhesion rate.
- Further research is warranted to fully explore and validate the therapeutic potential of Plasmajet® in peritoneal surgery.
