Bühler K, Kato K, Klessen C, Koch R, Reich M, Winkler U, Schindler A E
Zentrum für Frauenheilkunde, Universitätsklinikum Essen.
Zentralbl Gynakol. 1991;113(12):713-22.
The safety of electrocoagulation for laparoscopic surgery has been greatly improved by the introduction of the bipolar coagulation technique. But complications caused by coagulation, especially by the overheated forceps, are still reported. In order to reduce those complications, a temperature controlled bicoagulation system was developed. This system allows coagulation with lower temperatures which can be kept constant during the coagulation process. In experiments with human fallopian tubes obtained by adnexectomy and rabbit uterine horns it is shown that those lower temperatures are sufficient for homogeneous coagulation. On line monitoring of the temperature during coagulation provides the surgeon with the possibility of directly controlling the actual temperature at the tip of the forceps. The temperature curves can easily be stored in order to be able to demonstrate the particular coagulation process even after years.
双极电凝技术的引入极大地提高了腹腔镜手术中电凝的安全性。但仍有因电凝尤其是钳头过热导致并发症的报道。为减少这些并发症,研发了一种温度控制双极电凝系统。该系统能在较低温度下进行电凝,且电凝过程中温度可保持恒定。在对附件切除术中获取的人输卵管和兔子宫角进行的实验中表明,这些较低温度足以实现均匀电凝。电凝过程中的温度在线监测为外科医生提供了直接控制钳头尖端实际温度的可能性。温度曲线可轻松存储,以便即使多年后仍能展示特定的电凝过程。