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在猪模型中比较标准“博维电刀”、犹他医学缩影电极和巴德-帕克冷手术刀刀片所造成的手术切口的愈合情况:一项初步研究。

Comparative healing of surgical incisions created by a standard "bovie," the Utah Medical Epitome Electrode, and a Bard-Parker cold scalpel blade in a porcine model: a pilot study.

作者信息

Vore Stephen J, Wooden William A, Bradfield John F, Aycock E Dale, Vore Patty L, Lalikos Janice F, Hudson Suzanne S

机构信息

Department of Comparative Medicine, Division of Plastic and Reconstructive Surgery, The Brody School of Medicine at East Carolina University, 217 Warren Life Sciences Building, Greenville, NC 27858, USA.

出版信息

Ann Plast Surg. 2002 Dec;49(6):635-45. doi: 10.1097/00000637-200212000-00014.

Abstract

A comparative study of skin incision healing using a standard "bovie" and a new design electroscalpel, Utah Medical Products Epitome Electrode (Midvale, UT), was conducted in a porcine model. Wounds were evaluated objectively at 14 and 28 days after surgery using wound bursting strength measurements and histologic wound scoring. Each electrosurgical device was compared with wound healing of cold scalpel incisions as the gold standard using the same criteria. Statistical differences of healing between the bovie and the Epitome indicating preferential healing for the Epitome wounds were demonstrated for bursting strength at 14 days (p = 0.002). Comparisons of the measured "zone of coagulation necrosis" produced by the electroscalpels demonstrated significantly decreased thermal tissue damage favoring the Epitome (p = 0.0003). Greater differences in wound healing favoring the cold scalpel occurred in comparisons of bovie with cold scalpel than Epitome with cold scalpel, and overall results demonstrated healing for the Epitome wounds closely approximated that for cold scalpel. The authors conclude that this new generation electroscalpel provides measurable improvements in incisional wound healing compared to established electrosurgical technology.

摘要

在猪模型中,对使用标准“博维”电刀和一种新设计的电手术刀(犹他医疗产品公司的Epitome电极,位于犹他州米德瓦尔)进行皮肤切口愈合情况进行了比较研究。在术后14天和28天,使用伤口破裂强度测量和组织学伤口评分对伤口进行客观评估。每种电外科设备都与作为金标准的冷手术刀切口的伤口愈合情况按照相同标准进行比较。结果显示,在14天时,博维和Epitome之间的愈合情况存在统计学差异,表明Epitome伤口愈合更优(p = 0.002)。对电手术刀产生的“凝固性坏死区域”测量结果的比较表明,Epitome造成的热组织损伤显著减少(p = 0.0003)。与冷手术刀相比,博维与冷手术刀之间在伤口愈合方面的差异比Epitome与冷手术刀之间更大,总体结果表明Epitome伤口的愈合情况与冷手术刀的愈合情况非常接近。作者得出结论,与已有的电外科技术相比,这种新一代电手术刀在切口伤口愈合方面有可测量的改善。

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