有源电极监测。如何预防腹腔镜下单极电外科手术相关的意外热损伤。
Active electrode monitoring. How to prevent unintentional thermal injury associated with monopolar electrosurgery at laparoscopy.
作者信息
Vancaillie T G
机构信息
Department of Endogynecology, Royal Hospital for Women, Randwick NSW, Sydney, Australia.
出版信息
Surg Endosc. 1998 Aug;12(8):1009-12. doi: 10.1007/s004649900769.
BACKGROUND
In recent years, the use of minimally invasive surgery (MIS) has expanded to a wide variety of surgical specialties. The increased popularity of the procedure, however, has been accompanied by its share of complications, including trocar lacerations and inadvertent thermal injuries to nontargeted tissues during monopolar electrosurgery.
METHODS
A survey on electrosurgical thermal injuries and three case studies are presented. The new technology of active electrode monitoring (AEM) is described.
RESULTS
AEM eliminates stray currents generated by insulation failure and capacitive coupling.
CONCLUSIONS
To reduce the incidence of injury by monopolar electrosurgery at laparoscopy, there is a need for advanced technology, such as AEM. In addition, laparoscopic surgeons should be encouraged to study the basic concepts of the biophysics of electrosurgery.
背景
近年来，微创手术（MIS）已扩展到广泛的外科专业领域。然而，该手术日益普及的同时也伴随着一些并发症，包括套管针撕裂伤以及单极电外科手术期间对非目标组织的意外热损伤。
方法
本文介绍了一项关于电外科热损伤的调查以及三个病例研究。还描述了有源电极监测（AEM）的新技术。
结果
AEM消除了因绝缘故障和电容耦合产生的杂散电流。
结论
为降低腹腔镜下单极电外科手术的损伤发生率，需要先进技术，如AEM。此外，应鼓励腹腔镜外科医生学习电外科生物物理学的基本概念。
Zotero 插件