Huang Hui-Kuang, Wang Jung-Pan
Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
J Hand Microsurg. 2017 Aug;9(2):113-114. doi: 10.1055/s-0037-1605352. Epub 2017 Aug 1.
Electrosurgery using a bipolar cautery is very common, especially in surgical fields with surrounding vital structures. However, the tissue tends to stick to the bipolar forceps due to the heat cautery, which makes the tips stick together. When forceps tips are stuck to the cauterized tissue, surgeons have to spend time separating the tips. Also, when surgeons separate the tips, a cauterized bleeder may rebleed. Some bipolar forceps with nonstick coatings have been developed to reduce the sticking problem. However, for some surgeons or institutes, these nonstick bipolar forceps may be unavailable. The authors describe an easy method to reduce the occurrence of sticking forceps tips if regular bipolar forceps are used.
使用双极电灼的电外科手术非常常见,尤其是在周围有重要结构的手术领域。然而,由于热灼,组织往往会粘在双极镊子上,这会使尖端粘在一起。当镊子尖端粘在烧灼的组织上时,外科医生必须花费时间分离尖端。此外,当外科医生分离尖端时,烧灼的出血点可能会再次出血。一些带有不粘涂层的双极镊子已被开发出来以减少粘连问题。然而,对于一些外科医生或机构来说,这些不粘双极镊子可能无法获得。作者描述了一种简单的方法,如果使用常规双极镊子,可以减少镊子尖端粘连的发生。