Characterization and mitigation of stray radiofrequency currents during monopolar resectoscopic electrosurgery

Journal of Minimally Invasive Gynecology

Volumn 13, Issue 2, 2006, Pages 134-140

  Vilos, George A ^a   Newton, David W ^b   Odell, Roger C ^b   Abu Rafea, Basim ^a,c   Vilos, Angelos G ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b Encision AEM Laparoscopic Instruments   (United States)

^c ST JOSEPH S HEALTH CENTRE   (Canada)

Author keywords

Active electrode monitoring; Electrosurgery; Endometrial ablation; Hysteroscopy; Monopolar; Resectoscope

Indexed keywords

GLYCINE;

ARTICLE; CLINICAL ARTICLE; COMPUTER; COMPUTER ANALYSIS; COMPUTER PROGRAM; DATA ANALYSIS; ELECTRIC CURRENT; ELECTRODE; ELECTROSURGERY; FEMALE; GENERATOR; HEAT; HUMAN; IN VIVO STUDY; MEASUREMENT; MEDICAL INSTRUMENTATION; MONITORING; OSCILLOSCOPE; PROSPECTIVE STUDY; RADIOFREQUENCY; RADIOFREQUENCY ABLATION; RADIOSURGERY; SAFETY; SURGICAL TECHNIQUE; TEACHING HOSPITAL; UNIVERSITY HOSPITAL;

ADULT; CATHETER ABLATION; ELECTRIC CAPACITANCE; ELECTRODES; ELECTROSURGERY; EQUIPMENT DESIGN; EQUIPMENT SAFETY; FEMALE; FOLLOW-UP STUDIES; HOSPITALS, UNIVERSITY; HUMANS; HYSTEROSCOPY; MENORRHAGIA; MIDDLE AGED; PROSPECTIVE STUDIES; RADIO WAVES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; UTERINE HEMORRHAGE;

EID: 33644751852     PISSN: 15534650     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jmig.2005.12.001     Document Type: Article

References (19)

1. E. Beer Removal of neoplasms of the urinary bladder a new method employing high frequency (Oudin) currents through a catheterizing cystoscope JAMA. 54 1910 1768 1769
2. R.S. Neuwirth, H.K. Amin Excision of submucous fibroids with hysteroscopy control Am J Obstet Gynecol.. 126 1976 95 99
3. G.A. Vilos, I. D'Souza, D. Huband Genital tract burns during rollerball endometrial coagulation J Am Assoc Gynecol Laparosc. 4 1997 273 276
4. G.A. Vilos, S. Brown, G. Graham Genital tract electrical burns during hysteroscopic endometrial ablation report of 13 cases in the United States and Canada J Am Assoc Gynecol Laparosc. 7 2000 141 147
5. P.L. Langlois Vaginal burns in a patient during rollerball endometrial ablation [Letter] J Am Assoc Gynecol Laparosc. 7 2000 557 558
6. J.G. Chandler, S.L. Corson, L.W. Way Three spectra of laparoscopic entry access injuries J Am Coll Surg. 192 2001 478 491
7. P.G. Perantinides, A.P. Tsarouhas The medicolegal risks of thermal injury during laparoscopic monopolar electrosurgery J Healthc Risk Manage. 1998 49 55 winter
8. G.A. Vilos, S. McCulloch, S. Borg, W. Zheng, J.D. Denstedt Intended and stray radiofrequency electrical currents during resectoscopic surgery J Am Assoc Gynecol Laparosc. 7 2000 55 63
9. M.G. Munro Factors affecting capacitive current diversion with a uterine resectoscope an in-vitro study J Am Assoc Gynecol Laparosc. 10 2003 450 640
10. M.G. Munro Capacitive coupling a comparison of measurements in four uterine resectoscopes J Am Assoc Gynecol Laparosc. 11 2004 379 387
11. J.A. Pearce Electrosurgery 1986 Wiley Medical New York, NY 194 199
12. C.M. Becker, I.V. Malhotra, J.H. Whyte The distribution of radiofrequency current and burns Anesthesiology. 38 1973 106 122
13. R.D. Tucker, R.C. Voyles, S.E. Silvis Capacitive coupled stray currents during laparoscopic and endoscopic electrosurgical procedures Biomed Instrum Technol. 26 1992 303 311
14. G. Flachenecker, K. Fastenmeier Capacitive effects during transurethral resections with high frequency currents Urologe. 16 1977 25 27
15. H.M. Meinke, G. Flachenecker, K. Fastenmeier Safe circuitry for high frequency cutting and coagulating devices 1980 US Patent 4 184 492. January 22
16. G. Flachenecker, K. Fastenmeier High frequency current effects during transurethral resection J Urol. 122 1979 336 341
17. A. Berg, O. Istre A randomized trial to compare the differences between monopolar surgery (loop resection) with glycine 1.5% and bipolar surgery with saline (Olympus, Versapoint) on hysteroscopic surgery J Minim Invasive Gynecol. 12 2005 S3
18. G.A. Vilos Intrauterine surgery using a new coaxial bipolar electrode in normal saline solution (Versapoint) a pilot study Fertil Steril. 72 1999 740 743
19. D.C. Hunter, D.W. Cooper, G. Phillips Gas embolism during Versapoint hysteroscopic myomectomy case report Gynecol Endosc. 10 2001 261 264