Stanojević D, Sćepanović R, Perunović R, Zivanović V, Stevanović P
Narodni Front Department of Gynaecology and Obstetrics, Dr. Dragisha Mishovitsh Medical Centre, Belgrade.
Srp Arh Celok Lek. 1998 May-Jun;126(5-6):214-6.
In order to obtain good results in laparoscopic surgery the surgeon should be well trained and experienced and the equipment perfect. The recent innovation in laparoscopic surgery is the ultrasonically activated scalpel. Scissors make the working part of scalpel with one hand vibrating 55,000 Hz in a second. The effect reflects in braking hydrogen links and denaturation of proteins in instant haemostasis and coagulation in blood vessels, and there is no need of tying them up. Practically, there is no damaging of the surrounding tissues. The technique is easy to use. When performing laparoscopic vaginal hysterectomy and adnexectomy the ligamentum infundibulopelvicum and ligamentum rotundum are cut, and there the blood vessels are not thicker than 3 millimeters. As these ligaments are easy to reach with ultrasonically activated scalpel, we can say that this instrument is the ideal option for laparoscopic vaginal hysterectomy.
为了在腹腔镜手术中取得良好效果，外科医生应训练有素且经验丰富，设备也应完美无缺。腹腔镜手术的最新创新是超声刀。剪刀构成了超声刀的工作部分，其一端每秒振动55000次。这种效应体现在瞬间止血和血管凝血过程中打断氢键以及蛋白质变性，无需结扎血管。实际上，对周围组织没有损伤。该技术易于使用。在进行腹腔镜阴道子宫切除术和附件切除术时，可切断漏斗骨盆韧带和圆韧带，此处血管不粗于3毫米。由于使用超声刀很容易触及这些韧带，我们可以说该器械是腹腔镜阴道子宫切除术的理想选择。
