Bipolar Jewelers Forceps With Automatic Irrigation, for Coagulation in Microsurgery

Dujovny, Manuel; Vas, Ran; Osgood, Carroll P.

doi:10.1097/00006534-197511000-00026

Cited by 21 publications

(15 citation statements)

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“…[5] Hence, coagulation by forceps will fail in time and the length of lost time will increase while the tips of the forceps will be damaged because of more frequent cleaning by the nurse or assistant. [2]…”

Section: Discussionmentioning

confidence: 99%

“…[25] Dujovny et al described a model using bipolar forceps with an inbuilt suction channel and an irrigating pump with a self-designed mechanism to couple it to the cautery unit to provide irrigation to the forceps tip. [2]…”

Section: Discussionmentioning

confidence: 99%

“…Saline-linked cautery units do away to a considerable extent with this nuance,[2] but are prohibitively costly to acquire and maintain. Among the not so well-equipped surgical theatres, considerable effort is directed at irrigating the field with syringes to decrease charring and / or very frequent cleaning of the forceps tip by an assistant to remove the charred tissue.…”

Section: Introductionmentioning

confidence: 99%

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

Sharma¹,

Haji²,

Vijaykumar³

et al. 2008

Indian J Plast Surg

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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 tissue, which adheres to the cautery tip. This, not only decreases its effectiveness, but also, by getting avulsed while removing the cautery tip from the surgical field, causes rebleeding and more trauma to the tissue. Irrigation of the surgical field during application of cautery reduces the charring effect, thereby improving the efficiency and efficacy. Irrigation-coupled electrocautery devices are available but are costly to acquire and maintain. We describe a simple and reliable version of an irrigation-coupled cautery device, which is of immense functional utility in our experience. It decreases the amount of charring of the tissue and its adherence to the bipolar forceps tips, thereby decreasing the frustrating loss of effectiveness and also increases the life of the bipolar forceps as cleaning needs to be less frequent. By virtue of its simplicity and cost-effectiveness, it can be used in almost all hospitals and situations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Sharma¹,

Haji²,

Vijaykumar³

et al. 2008

Indian J Plast Surg

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“…2,3 There more chances of damage to the tip due to repeated cleaning to remove the charred particles in the tip. 4 The power needed to coagulate a surface point depends on the impedance of the circuit (the cautery tip to ground plate in monopolar and in bipolar Department of General Surgery, Kilpauk Medical College and Hospital, Chennai, Tamilnadu, India from one cautery tip to the other). This impedance depends upon many factors; the important factors are the distance between the two electrodes, the conductance of the tissue.…”

Section: Introductionmentioning

confidence: 99%

“…6 King et al and Dujovny et al explained the automatically irrigated bipolar cautery. 3,4 Dujovny et al described a model using bipolar forceps with an inbuilt suction channel and an irrigating pump with a self-designed mechanism to couple it to the cautery unit to provide irrigation to the forceps tip. 4 The first thyroid surgery was performed in 12th century; it was associated with high mortality and morbidity because of which it was not routinely performed.…”

Section: Introductionmentioning

confidence: 99%

A study of use of bipolar cautery in thyroidectomy

et al. 2017

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Background: Thyroidectomy is one of the most commonly performed surgeries throughout the world which has an extremely low morbidity rate. Nowadays with the advent of newer techniques the duration of surgery and complications have decreased. Conventionally Thyroidectomy was done by suture knot tying technique which needs large number of surgical ties and also time consuming. It decreases healing as well as increases wound infection, injury to neighboring structures and foreign body reaction.Methods: In this study, I selected 50 patients with thyroid swelling attending the surgery outpatient department from February 2015 to August 2015. Thyroid surgery was done using bipolar cautery. The results were analyzed.Results: This study shows most of the patients belong to 30-40 years followed by 40-50 years. The male: female ratio is 1:25. Time duration varies from 50 minutes to 135 minutes. The longer duration of surgery compared to other studies is attributed to learning curve. We started using bipolar diathermy since 2013. The blood loss ranges from 25-50 ml. Complication rates are also less with bipolar thyroidectomy, 2% had postoperative hemorrhage, 2% developed temporary RLN palsy, 2% developed minor degree of wound infection, and 6% developed signs and symptoms of hypocalcemia. The mean duration of hospital stay was 4 days.Conclusions: Thyroidectomy using bipolar cautery is safe and effective method and also less time consuming. The cost of the bipolar cautery is less compared to harmonic scalpel and LigaSure. Bipolar cautery is available in our government hospital. Blood loss using Bipolar Cautery is less compared to conventional Knot–tying technique. The post-operative complications are less with bipolar cautery.

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Traus Thyroidectomy (Trans Retroauricular Approach Ultrasonic Surgery) Using Thunderbeat™—a Technical Note

2020

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Thyroidectomy is one of the most commonly performed surgeries of the head and neck and it calls for meticulous hemostasis as thyroid is one of the most vascular glands in our body. To demonstrate the application of Thunderbeat™ in a retroauricular approach thyroidectomy for the first time in the existing world literature to the best of our knowledge. Forty-five-year-old female patient with nodular goiter underwent retroauricular approach thyroidectomy using Thunderbeat™ with an open fine jaw. The resultant hemostasis was superior to the conventional techniques with excellent visibility and since the surgery was done by a remote access retroauricular approach, patient was extremely satisfied with the cosmetic outcome. Thunderbeat™ is a versatile technological innovation, which can be utilized in a range of head and neck surgeries to produce a better surgical outcome and high patient satisfaction.

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Bipolar Jewelers Forceps With Automatic Irrigation, for Coagulation in Microsurgery

Cited by 21 publications

References 0 publications

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

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

A study of use of bipolar cautery in thyroidectomy

Traus Thyroidectomy (Trans Retroauricular Approach Ultrasonic Surgery) Using Thunderbeat™—a Technical Note

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