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[Ellmann Surgitron在眼睑及整形手术中的应用]

[Use of the Ellmann Surgitron in eyelid and plastic surgery].

作者信息

Eisenmann D, Jacobi K W

机构信息

Universitäts-Augenklinik Giessen.

出版信息

Ophthalmologe. 1994 Aug;91(4):540-2.

PMID:7950132
Abstract

BACKGROUND

The Ellman Surgitron is a new electrosurgical device with high frequencies (4 MHz) for special use in oculoplastic surgery. Four different operational functions are available: (1) cutting with minimal coagulation, (2) combined cutting and coagulation, (3) coagulation and (4) fulguration.

METHODS

The Ellman Surgitron was used in plastic eyelid surgery (blepharoplasty of the upper lid) and in resection of tumors of the upper and lower lid. Histological sections of the excised tumours and skin were performed with special respect to the cut tissues.

RESULTS

Blepharoplasty in the cutting mode was performed in nearly complete haemostasis. Histological sections of the excised skin documented better perpendicularity of the cut tissues after electrosurgery than after conventional surgery. Superficial or complete resection of small and larger tumours was performed in haemostasis of deep and superficial vessels. Perfect evaluation of histological sections of the cut tissue was possible after dissection in the cutting mode or the combined cutting and coagulation mode. Per primam postoperative wound healing was observed in all subjects.

CONCLUSION

Use of the Ellman Surgitron decreases operating time and permits efficient tissue dissection, excellent haemostasis and perfect wound healing in oculoplastic surgery.

摘要

背景

Ellman Surgitron是一种新型高频(4兆赫)电外科设备,专门用于眼部整形手术。它有四种不同的操作功能:(1)最小凝血切割,(2)切割与凝血结合,(3)凝血,(4)电灼。

方法

Ellman Surgitron用于眼睑整形手术(上睑成形术)以及上下眼睑肿瘤切除术。对切除的肿瘤和皮肤进行组织学切片时,特别关注切割组织。

结果

在切割模式下进行上睑成形术时几乎实现完全止血。切除皮肤的组织学切片显示,电外科手术后切割组织的垂直度优于传统手术。在深部和浅部血管止血的情况下,对大小不等的肿瘤进行了浅表或完全切除。在切割模式或切割与凝血结合模式下进行解剖后,可以对切割组织的组织学切片进行完美评估。所有受试者术后一期伤口均愈合良好。

结论

在眼部整形手术中,使用Ellman Surgitron可缩短手术时间,实现高效的组织解剖、出色的止血效果以及完美的伤口愈合。

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