Document Detail


Dramatic hemostasis of the transected pulmonary artery model using SOFT COAG electrosurgical output.
MedLine Citation:
PMID:  18573845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the use of low-voltage, automatically regulated, electrosurgical coagulation to seal the bleeding from pulmonary arteries inadvertently during surgical intervention. Conventional electrosurgical coagulation uses high voltage, which generates intensive heat in the tissue. The heat results in carbonized eschar formation that can be easily broken by mechanical stress and lead to postoperative bleeding. SOFT COAG output automatically regulates the output voltage to a maximum of 200 Volts, preventing the generation of sparking. Thus, there is no formation of carbonized eschar. The instrument generates Joule heat alone in the tissue and the temperature rises to below boiling point, which effectively coagulates protein. Initial experiments, using a beagle model, clearly demonstrated the effectiveness and reliability of sealing both macroscopically and histopathologically. SOFT CAOG can be easily adopted both in open thoracotomy as well as in thoracoscopic procedures.
Authors:
Tohru Sakuragi; Yukio Okazaki; Masahiro Mitsuoka; Tsuyoshi Itoh
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Publication Detail:
Type:  Journal Article     Date:  2008-06-23
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-19     Completed Date:  2008-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  764-6     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan. sakuragi@cc.saga-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Animals
Automation
Blood Loss, Surgical / prevention & control*
Dogs
Electrocoagulation* / instrumentation
Equipment Design
Hemostasis, Surgical / instrumentation,  methods*
Models, Animal
Pneumonectomy
Pulmonary Artery / injuries*,  pathology,  surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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