Investigation of Hyfrecators and Their In Vitro Interference with Implantable Cardiac Devices

Weyer, Christopher; Siegle, Ronald J.; Eng, Guillaume Girard P.

doi:10.1111/j.1524-4725.2012.02526.x

Cited by 14 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25 A recent study of hyfrecators (both monoterminal and biterminal, electrodesiccation and electrofulguration methods) found significant interference with pacemakers within 3 cm of the device and no significant interference with ICDs. 26 These data support the safe use of electrosurgery in the dermatology outpatient setting. It is still prudent to consider methods such as bipolar handpieces and temporary device deactivation to mitigate risk in these patients.…”

Section: Safety In An Office-based Setting Key Pointsmentioning

confidence: 60%

Patient safety in dermatologic surgery

Hansen

Lolis

Goldberg

et al. 2015

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

Section: Safety In An Office-based Setting Key Pointsmentioning

confidence: 60%

Patient safety in dermatologic surgery

Hansen

Lolis

Goldberg

et al. 2015

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…The authors investigated safety margins and reported that for pacemakers, atrial inhibition was observed at 3 cm on maximum hyfrecator settings and 1 cm at normal use settings. 29 A recent in vivo retrospective study did not report adverse perioperative effects in patients with implantable cardiac devices. 30 …”

Section: Preoperative Considerationsmentioning

confidence: 99%

Mohs micrographic surgery: a review of indications, technique, outcomes, and considerations

Bittner

Cerci

Kubo³

et al. 2021

Anais Brasileiros de Dermatologia

View full text Add to dashboard Cite

Mohs micrographic surgery is a specialized form of skin cancer surgery that has the highest cure rates for several cutaneous malignancies. Certain skin cancers can have small extensions or “roots” that may be missed if an excised tumor is serially cross-sectioned in a “bread-loaf” fashion, commonly performed on excision specimens. The method of Mohs micrographic surgery is unique in that the dermatologist (Mohs surgeon) acts as both surgeon and pathologist, from the preoperative considerations until the reconstruction. Since Dr. Mohs’s initial work in the 1930s, the practice of Mohs micrographic surgery has become increasingly widespread among the dermatologic surgery community worldwide and is considered the treatment of choice for many common and uncommon cutaneous neoplasms. Mohs micrographic surgery spares the maximal amount of normal tissue and is a safe procedure with very few complications, most of them managed by Mohs surgeons in their offices. Mohs micrographic surgery is the standard of care for high risks basal cell carcinomas and cutaneous squamous cell carcinoma and is commonly and increasingly used for melanoma and other rare tumors with superior cure rates. This review better familiarizes the dermatologists with the technique, explains the difference between Mohs micrographic surgery and wide local excision, and discusses its main indications.

show abstract

“…However, a 2012 study by Weyer et al found that electrodessication with a Hyfrecator on maximal settings can be used safely beyond a 3-cm radius around the implanted device. The hyfrecator can also safely be used beyond a 1-cm radius with standard settings (Weyer et al, 2012). To improve the safety of the hyfrecator, the operator can use short bursts of electricity to decrease the possibility of prolonged periods of inhibition (approximately 1 second bursts; Matzke et al, 2006).…”

Section: Preoperative Assessment and Surgical Considerationsmentioning

confidence: 99%

“…To improve the safety of the hyfrecator, the operator can use short bursts of electricity to decrease the possibility of prolonged periods of inhibition (approximately 1 second bursts; Matzke et al, 2006). In patients who are oxygen-dependent, oxygen flow should be temporarily discontinued while using electrical means of hemostasis because the spark could ignite a fire (Weyer et al, 2012).…”

Section: Implantable Devicesmentioning

confidence: 99%

Mohs Micrographic Surgery

Mastacouris

Mafee

2021

Journal of the Dermatology Nurses' Association

View full text Add to dashboard Cite

Mohs micrographic surgery is a specialized surgical technique that involves serial excision of locally invasive, recurrent, or ill-defined skin cancers with complete histological examination of surgical margins. Originally developed by Dr. Frederic E. Mohs in the 1930s, it began as in situ tissue fixation with zinc chloride and healing by secondary intention and has evolved to fresh tissue surgical excision with subsequent reconstruction. Despite continuous advancements made in the field, the underlying principle of Mohs surgery remains the same: one surgeon acting as a pathologist to ensure complete tumor removal while minimizing the resection of healthy tissue. Mohs surgery is considered the gold standard for treatment of various cutaneous tumors and can be performed on an outpatient basis within a single day. The tumor is excised, mapped, and processed with frozen, horizontal sections for immediate histological evaluation and subsequent surgical staging in the location of a positive margin. This article serves as a review of Mohs surgery for dermatology nurses and offers an overview of the history of the procedure, clinical indications, preoperative assessments, surgical technique, reconstructive modalities, and postoperative care.

show abstract

Investigation of Hyfrecators and Their In Vitro Interference with Implantable Cardiac Devices

Abstract: Hyfrecators are safe to use in patients with defibrillators and can be used in pacemaker patients within 2 inches of the device perimeter.

Cited by 14 publications

References 8 publications

Patient safety in dermatologic surgery

Patient safety in dermatologic surgery

Mohs micrographic surgery: a review of indications, technique, outcomes, and considerations

Mohs Micrographic Surgery

Contact Info

Product

Resources

About