Beasley Spencer W
Department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.
ANZ J Surg. 2008 Dec;78(12):1119-21. doi: 10.1111/j.1445-2197.2008.04763.x.
Monopolar diathermy is employed widely in surgery, but detailed examination of its use reveals that the full potential of the instrument as a dissecting tool is not always realised. Two factors compromise its use for accurate dissection: 1) the location and control of the hand control buttons; and 2) use of a needle point. This review demonstrates how the foot control (by allowing the instrument to be held closer to the tissues) and the round-tipped spatula end (by allowing blunt dissection without having to change instruments) can markedly increase the precision and efficiency of operative dissection.
单极透热法在外科手术中被广泛应用，但对其使用的详细检查表明，该器械作为一种解剖工具的全部潜力并不总是能得到充分发挥。有两个因素影响了它在精确解剖中的应用：1）手动控制按钮的位置和控制；2）针尖的使用。这篇综述表明，脚踏控制（通过使器械更靠近组织握持）和圆头刮刀端部（通过允许进行钝性解剖而无需更换器械）如何能显著提高手术解剖的精度和效率。
