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New application of bipolar coagulation in laparoscopic surgery
J B McKernan1, A Stuto, J K Champion
1Department of Surgery, Emory University, Atlanta, Georgia, USA.
Surgical Laparoscopy & Endoscopy
|October 1, 1996
Summary
Bipolar diathermy offers a safer alternative to monopolar diathermy in general laparoscopic surgery, minimizing tissue injury. This study demonstrates its effective use for hemostasis and vessel closure in various procedures without complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Laparoscopic Procedures
Background:
- Bipolar electrocautery is recognized for reduced inadvertent energy transfer risks compared to monopolar diathermy.
- Bipolar coagulation has a proven track record in obstetric and gynecologic surgeries.
Purpose of the Study:
- To report the successful application of bipolar diathermy in general laparoscopic surgery.
- To evaluate the safety and efficacy of bipolar diathermy for hemostasis and vessel sealing in diverse laparoscopic operations.
Main Methods:
- A series of 296 general laparoscopic operations were performed using bipolar diathermy forceps.
- Procedures included laparoscopic cholecystectomy, fundoplication, appendectomy, and highly selective vagotomy.
Main Results:
- Bipolar diathermy enabled effective hemostasis and closure of even large vessels.
- No intraoperative bleeding complications were observed.
- No postoperative complications, such as peritonitis, indicative of inadvertent tissue damage were reported.
Conclusions:
- Bipolar diathermy can be safely and effectively utilized in general laparoscopic surgery.
- It provides a reliable method for achieving hemostasis and sealing vessels during these procedures.
