Neuroprotection Due to Irrigation During Bipolar Cautery

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Neuroprotection due to irrigation during bipolar cautery.

OBJECTIVE To test whether irrigation during bipolar cautery confers thermoprotection from neuronal injury. DESIGN A rat animal model (15 rats for each treatment group) was used to test the thermoprotective effects of irrigation during bipolar cautery. In this model, the sciatic nerve was exposed, and a 1-second stimulus was applied using bipolar cautery forceps at 40 or 20 W placed directly o...

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Irrigation-coupled bipolar cautery unit: A practical, economical, and simple version

Hemostasis is a fundamental principle of surgery for which electrocoagulation is universally used. Bipolar electrocautery has an advantage over monopolar electrocautery in terms of the precision of the extent of tissue coagulation and the lateral extent of thermal tissue injury. However, secondary to the thermal changes induced in the tissue due to electric current passage, there is charring of...

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Irrigation during concomitant bipolar ablation: does it matter?

Background Use of irrigation catheters increases the power supply energy to create transmural injury [Jais P., Shah D.C., Haissaguerre M. et al., 2000]. However, these data are based on the catheter procedures and concomitant monopolar endocardial ablation [Deneke T., Khargi K. et al., 2007]. The benefits of using irrigation during bipolar concomitant ablation has no reflection in the literature.

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Comparison between Silk Ligation and Bipolar Cautery in Tonsillectomy

Background: Tonsillectomy is a commonly performed surgical procedure. There are several operative methods but the superiority of one over the other has not been clearly demonstrated. The aim of this study was to compare the morbidity associated with tonsillectomy using two different techniques for hemostasis – silk ligation versus diathermy. Material and Methods: This was an experimental study ...

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Hydrogen peroxide is used to cleanse and irrigate wounds. As it decomposes immediately into water and oxygen on contact with organic tissue, it is usually regarded as a safe agent. We report a case of oxygen embolism associated with hydrogen peroxide irrigation of the surgical field during anterior fusion of the cervical vertebrae. It was accompanied by precipitous hypotension and decrease in p...

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ژورنال

عنوان ژورنال: Archives of Otolaryngology–Head & Neck Surgery

سال: 2000

ISSN: 0886-4470

DOI: 10.1001/archotol.126.2.149