Comparison of Thermal Spread after Ureteral Ligation with the Laparo-Sonic™ Ultrasonic Shears and the Ligasure™ System
- 1 February 2002
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Laparoendoscopic & Advanced Surgical Techniques
- Vol. 12 (1), 61-63
- https://doi.org/10.1089/109264202753486957
Abstract
Background and Purpose: The extent of lateral spread of tissue injury is important in the success of a primary anastomosis. We compared the injury produced by the Laparo-sonic™ Coagulation Shears and the Ligasure™ system. Materials and Methods: Ureters were harvested from domestic farm pigs and ligated with the Laparo-sonic (N = 13) or Ligasure (N = 9) system. The tissues were then fixed, stained, and examined by two pathologists without knowledge of the type of treatment. Results: The mean length of thermal damage from the Ligasure was 2.11 mm (range 1.0-4.0 mm) whereas it was 1.92 (range 0.5-4.25 mm) from the Laparo-sonic system. The difference is not statistically significant. Conclusion: Debridement of as much as 5 mm of each cut end produced by the Laparo-sonic or Ligasure system may be beneficial in reducing stricture and leak.Keywords
This publication has 6 references indexed in Scilit:
- Late presentation of ureteral injury after laparoscopic surgeryObstetrics & Gynecology, 2000
- Major complications of laparoscopy: a follow-up Finnish studyObstetrics & Gynecology, 1999
- Iatrogenic Ureteral Injuries: A 20-Year Experience in Treating 165 InjuriesJournal of Urology, 1996
- Diagnosis and management of serious urinary complications after major operative laparoscopyObstetrics & Gynecology, 1996
- Changing Incidence and Etiology of Iatrogenic Ureteral InjuriesJournal of Urology, 1994