Real-time thermography during energized vessel sealing and dissection

Energized dissection systems facilitate laparoscopic dissection and hemostasis and reduce instrument traffic. However, they can introduce undesirable thermal collateral/proximity damage to adjacent structures mainly by heat conduction, although other mechanisms may be involved. The latest generation...

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Veröffentlicht in:Surgical endoscopy 2003-10, Vol.17 (10), p.1640-1645
Hauptverfasser: CAMPBELL, P. A, CRESSWELL, A. B, FRANK, T. G, CUSCHIERI, A
Format: Artikel
Sprache:eng
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Zusammenfassung:Energized dissection systems facilitate laparoscopic dissection and hemostasis and reduce instrument traffic. However, they can introduce undesirable thermal collateral/proximity damage to adjacent structures mainly by heat conduction, although other mechanisms may be involved. The latest generation devices have the potential to reduce the incidence of such problems through use of active feedback control over the power output. This effectively regulates the delivery of energy to the target tissue with minimal thermal collateral damage. In addition, innovative heat-sink engineering of the device head ensures that the surface of the instrument tip remains cool (
ISSN:0930-2794
1432-2218
DOI:10.1007/s00464-002-8781-2