Recent innovations in bipolar electrosurgery
- 1 January 1999
- journal article
- review article
- Published by Taylor & Francis Ltd in Minimally Invasive Therapy & Allied Technologies
- Vol. 8 (2), 95-99
- https://doi.org/10.3109/13645709909153141
Abstract
Bipolar electrosurgery has been used routinely in endoscopic surgery since its inception and is associated with increased safety and precise energy delivery. The most common tool is the laparoscopic bipolar forceps. In the last decade, variations on this tool, along with other configurations, have been developed that expand the use of bipolar electrosurgery. These variations include bipolar hooks, needles, scissors, forceps with cutting capability and optimised instrument/energy source systems. These new technologies make bipolar electrosurgery a very versatile tool for haemostatic dissection in surgery. This paper reviews laparoscopic bipolar instruments and systems, including the advantages and limitations of each configuration. A new optimised forceps/generator system for surgical vessel-sealing, called the ‘LigaSure’ (Valleylab Inc., Boulder, CO, USA) vessel-sealing system is also discussed. The LigaSure system offers increased reliability with a single application and utility on a broader range of vessel sizes than conventional bipolar electrosurgery. A study comparing seal integrity of standard bipolar coagulation, ultrasonic coagulation and vessel-sealing technology is presented.Keywords
This publication has 8 references indexed in Scilit:
- High-burst-strength, feedback-controlled bipolar vessel sealingSurgical Endoscopy, 1998
- Controlled radio frequency vessel sealing system for surgical applicationsPublished by SPIE-Intl Soc Optical Eng ,1998
- A randomised controlled comparison of injection, thermal, and mechanical endoscopic methods of haemostasis on mesenteric vesselsGut, 1998
- The use of bipolar cautery, laparosonic coagulating shears, and vascular clips for hemostasis of small and medium-sized vessels.Surgical Endoscopy, 1998
- Using 5-mm Bipolar Cutting Forceps: A New Multifunctional InstrumentJournal of Laparoendoscopic & Advanced Surgical Techniques, 1997
- Tissue actions of bipolar scissors compared with monopolar devicesFertility and Sterility, 1995
- Artery weld strength after bipolar electrocoagulation is affected by electrolyte solutions around the arteryGastrointestinal Endoscopy, 1993
- Studies on coagulation and the development of an automatic computerized bipolar coagulatorJournal of Neurosurgery, 1991