Quantifying Electrosurgery-Induced Thermal Effects and Damage to Human Tissue: An Exploratory Study with the Fallopian Tube as a Novel In-Vivo In-Situ Model

Journal of Minimally Invasive Gynecology

Volumn 17, Issue 1, 2010, Pages 70-77

  Wallwiener, Christian W ^a   Rajab, Taufiek K ^b   Krämer, Bernhard ^b   Isaacson, Keith B ^c   Brucker, Sara ^b   Wallwiener, Markus ^b  

^a TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^b UNIVERSITY HOSPITAL TÜBINGEN   (Germany)

^c NEWTON WELLESLEY HOSPITAL   (United States)

Author keywords

Bipolar coagulation; Electrosurgery; Iatrogenic damage; Surgical technique; Thermal lesions; Tissue desiccation

Indexed keywords

LACTATE DEHYDROGENASE;

ABDOMINAL HYSTERECTOMY; ADULT; ARTICLE; CLINICAL ARTICLE; DESICCATION; ELECTROSURGERY; FEMALE; HISTOLOGY; HUMAN; IN VIVO STUDY; LAPAROSCOPIC SURGERY; MODEL; PROSPECTIVE STUDY; REPRODUCIBILITY; SCORING SYSTEM; TEMPERATURE MEASUREMENT; THERMAL INJURY; TISSUE INJURY; UNIVERSITY HOSPITAL; UTERINE TUBE;

ADULT; ELECTROSURGERY; FALLOPIAN TUBES; FEMALE; HOT TEMPERATURE; HUMANS; HYSTERECTOMY; PROSPECTIVE STUDIES; THERMOGRAPHY;

EID: 73649128310     PISSN: 15534650     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jmig.2009.09.007     Document Type: Article

References (29)

1. Harrell A.G., and Heniford B.T. Minimally invasive abdominal surgery: lux et veritas past, present, and future. Am J Surg 190 (2005) 239-243
2. Hurst B.S., Matthews M.L., and Marshburn P.B. Laparoscopic myomectomy for symptomatic uterine myomas. Fertil Steril 83 (2005) 1-23
3. Hershlag A., and Markovitz J. Is laparoscopy back?. Fertil Steril 84 (2005) 1585-1586
4. Pietrow P.K., Weizer A.Z., L'Esperance J.O., Auge B.K., Silverstein A., Cummings T., et al. PlasmaKinetic bipolar vessel sealing: burst pressures and thermal spread in an animal model. J Endourol 19 (2005) 107-110
5. Tulikangas P.K., Beesley S., Boparai N., and Falcone T. Assessment of laparoscopic injuries by three methods. Fertil Steril 76 (2001) 817-819
6. Philosophe R. Avoiding complications of laparoscopic surgery. Fertil Steril 80 Suppl 4 (2003) 30-39 quiz 54-56
7. Morrison Jr. J.E., and Jacobs V.R. Rupture of the spleen with the harmonic scalpel: case report of an unexplained complication. JSLS 11 (2007) 268-271
8. Richter S., Kollmar O., Schilling M.K., Pistorius G.A., and Menger M.D. Efficacy and quality of vessel sealing: comparison of a reusable with a disposable device and effects of clamp surface geometry and structure. Surg Endosc 20 (2006) 890-894
9. Wallwiener C.W., Rajab T.K., Zubke W., Isaacson K.B., Enderle M., Schaller D., et al. Thermal conduction, compression, and electrical current-an evaluation of major parameters of electrosurgical vessel sealing in a porcine in vitro model. J Minim Invasive Gynecol 15 (2008) 605-610
10. Campbell P.A., Cresswell A.B., Frank T.G., and Cuschieri A. Real-time thermography during energized vessel sealing and dissection. Surg Endosc 17 (2003) 1640-1645
11. Harrell A.G., Kercher K.W., and Heniford B.T. Energy sources in laparoscopy. Semin Laparosc Surg 11 (2004) 201-209
12. Soderstrom R.M., Levy B.S., and Engel T. Reducing bipolar sterilization failures. Obstet Gynecol 74 (1989) 60-63
13. Wallwiener C., Wallwiener M., Neunhoeffer E., Menger M., Isaacson K., and Zubke W. Intelligent, impedance-regulated, pulsed coagulation in a porcine renal artery model. Fertil Steril 88 (2007) 206-211
14. Novitsky Y.W., Rosen M.J., Harrell A.G., Sing R.F., Kercher K.W., and Heniford B.T. Evaluation of the efficacy of the electrosurgical bipolar vessel sealer (LigaSure) devices in sealing lymphatic vessels. Surg Innov 12 (2005) 155-160
15. Santa-Cruz R.W., Auge B.K., Lallas C.D., Preminger G.M., and Polascik T.J. Use of bipolar laparoscopic forceps to occlude and transect the retroperitoneal vasculature: a porcine model. J Endourol 17 (2003) 181-185
16. Sherwood M.E., and Flotte T.J. Improved staining method for determining the extent of thermal damage to cells. Lasers Surg Med 39 (2007) 128-131
17. Aksan A., McGrath J.J., and Nielubowicz Jr. D.S. Thermal damage prediction for collagenous tissues part I: a clinically relevant numerical simulation incorporating heating rate dependent denaturation. J Biomech Eng 127 (2005) 85-97
18. Ioffe O.B., Brooks S.E., De Rezende R.B., and Silverberg S.G. Artifact in cervical LLETZ specimens: correlation with follow-up. Int J Gynecol Pathol 18 (1999) 115-121
19. Clarke B., and McCluggage W.G. Iatrogenic lesions and artefacts in gynaecological pathology. J Clin Pathol 62 (2009) 104-112
20. R Development Core Team. R: a language and environment for statistical computing (2008), R Foundation for Statistical Computing, Vienna
21. Bland J.M., and Altman D.G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1 (1986) 307-310
22. Pearce J., and Thompsen S. Rate process analysis of thermal damage. In: Welch S., and van Gemert S. (Eds). Optical thermal response of laser irradiated tissue (1995), Plenum Press, New York 561-606
23. Ghadially F. Ultrastructural pathology of the cell and matrix. 3rd ed (1988), Butterworths, Boston
24. Chen B., Thomsen S.L., Thomas R.J., Oliver J., and Welch A.J. Histological and modeling study of skin thermal injury to 2.0 microm laser irradiation. Lasers Surg Med 40 (2008) 358-370
25. Goldberg S.N., Gazelle G.S., Dawson S.L., Rittman W.J., Mueller P.R., and Rosenthal D.I. Tissue ablation with radiofrequency: effect of probe size, gauge, duration, and temperature on lesion volume. Acad Radiol 2 (1995) 399-404
26. Leveillee R.J., and Hoey M.F. Radiofrequency interstitial tissue ablation: wet electrode. J Endourol 17 (2003) 563-577
27. Goldberg S.N., Gazelle G.S., Halpern E.F., Rittman W.J., Mueller P.R., and Rosenthal D.I. Radiofrequency tissue ablation: importance of local temperature along the electrode tip exposure in determining lesion shape and size. Acad Radiol 3 (1996) 212-218
28. Bhowmick S., Swanlund D.J., Coad J.E., Lulloff L., Hoey M.F., and Bischof J.C. Evaluation of thermal therapy in a prostate cancer model using a wet electrode radiofrequency probe. J Endourol 15 (2001) 629-640
29. Emam T.A., and Cuschieri A. How safe is high-power ultrasonic dissection?. Ann Surg 237 (2003) 186-191