Zhang Xin Rui, Trinh Thuy-Tien Thi, Chien Pham Ngoc, Giang Nguyen Ngan, Zhou Shu Yi, Nam Sun Young, Heo Chan Yeong
Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Heliyon. 2024 Jul 26;10(15):e35266. doi: 10.1016/j.heliyon.2024.e35266. eCollection 2024 Aug 15.
Electrosurgical electrodes are the main dissecting devices widely used for surgeries throughout the world. The present study aimed to evaluate the thermal injury and safety within animals' organs following a minimally invasive electrosurgery technique with electrosurgical electrode AE40-300 (LIPO) and AE20-80 (LIFT). To ensure the effective application of electrosurgery in a clinical environment, it is crucial to minimize heat-induced injury to nearby tissues. In this study, the skin, liver, kidney, and femoral muscle dissected from 9 minipigs were used in tissue thermal spread experiments. Thermal imaging area analysis, maximum temperature, and time to reach basal temperature were evaluated. Thermography results revealed that the surgical temperature was significantly lower in the minimally invasive electrosurgery with AE40-300 (LIPO) and AE20-80 (LIFT) compared to the predicate device. In addition, AE40-300 (LIPO) and AE20-80 (LIFT) created a relatively small thermal injury area and thermal diffusion. Our results indicated that the tested devices named AE40-300 (LIPO) and AE20-80 (LIFT) reduced excessive thermal injury and could be applied to clinical use safely.
电外科电极是全球手术中广泛使用的主要解剖器械。本研究旨在评估使用电外科电极AE40 - 300(LIPO)和AE20 - 80(LIFT)的微创电外科技术对动物器官造成的热损伤和安全性。为确保电外科在临床环境中的有效应用,将对附近组织的热诱导损伤降至最低至关重要。在本研究中,从9只小型猪身上取下的皮肤、肝脏、肾脏和股四头肌用于组织热扩散实验。评估了热成像区域分析、最高温度和达到基础温度的时间。热成像结果显示,与对照设备相比,使用AE40 - 300(LIPO)和AE20 - 80(LIFT)的微创电外科手术温度显著更低。此外,AE40 - 300(LIPO)和AE20 - 80(LIFT)造成的热损伤区域和热扩散相对较小。我们的结果表明,名为AE40 - 300(LIPO)和AE20 - 80(LIFT)的受试设备减少了过度的热损伤,可以安全地应用于临床。