Blood Vessel Coagulation for Incisional Surgery

Abstract

Blood vessel electrocoagulation allows the cutaneous surgeon rapid and reliable bleeder control for incisional wounds. The following article discusses the various instruments and techniques used for blood vessel electrocoagulation.

Contamination Risks Associated With Electrosurgery

“…25 We know that the mechanical action of electrosur¬ gical current entering tissue can give rise to very small blood droplets that can travel a great distance. This issue also needs to be addressed.…”

Computerized Bipolar Diathermy with Scissors and Forceps in Cutaneous Surgery

“…[1][2][3] We have previously described a fully automatic, computerized bipolar diathermy unit in which activation of the current is automatic and the machine constantly measures tissue impedance and switches off the current when tissue coagulation has occurred, before desiccation or fulguration take place. Bipolar diathermy coagulates tissue as effectively as monopolar with less lateral tissue injury and no risk of interference with cardiac pacemakers or joint prostheses.…”

Liporeduction by Endocoagulation

“…THE USE OF high-frequency coagulation started in the 1960s 1 and the insulated needle was first used at the end of that same decade. In the 1970s, bipolar coagulator and diathermocoagulation use was consolidated 1,2 and it has been used in orthopedics, 3,4 gynecology and obstetrics, 5-7 ophthalmology, 1,[8][9][10][11][12] neurology and neurosurgery, [13][14][15][16][17] laparoscopy, 18,19 abdominal surgery, 2,18-25 otorhinolaryngology, [26][27][28] urology, 29,30 plastic surgery, [31][32][33][34] myocardial and vascular surgery, [35][36][37] dermatology, 38,39 and dentistry. 40,41 We have amplified its use in dermatology using a short-wave radiofrequency diathermy source for exceedingly loose tissue localized in the external malar prominence that remains even after consecutive blepharoplasties, as well as some patients who do not want to undergo radical plastic surgery, but wish to improve this kind of localized alteration in the submental and mandibular areas between the external malar prominence and the mandibular angle.…”