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Vascular thermocoagulation — perivascular nerve lesions an ultrastructural report on the choice between monopolar and bipolar electrocoagulation

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Summary

High-frequency coagulation is used with advantage for a number of purposes, including the production of haemostasis during surgery. The morphological changes which thermocoagulation produces in or near the wall of an artery remain, however, largely unknown; and systematic research in the subject is long overdue.

As might be expected from clinical experience, the local effects of monopolar thermocoagulation are much more severe and far-reaching than those caused by the bipolar method. For these reasons the bipolar coagulation technique is to be preferred wherever possible.

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References

  1. Allan SN, Spitz L, van Noort Ret al (1982) A comparative study of scalpel and electrosurgical incision on subsequent wound healing. J Ped Surg 17 (1): 52–54

    Google Scholar 

  2. Allt G (1972) An ultrastructural analysis of remyelination following segmental demyelination. Acta Neuropathol (Berl) 22: 333–344

    Google Scholar 

  3. Arnold G, Clahsen H, Gross Fet al (1981) Vergleichende Untersuchungen über die mechanischen Eigenschaften zugbeanspruchter kollagener Fasern unterhalb und oberhalb der Schrumpfungstemperatur. Verh Anat Ges 75: 141–143

    Google Scholar 

  4. Asbury AK, Johnson PC (eds) (1978) Pathology of peripheral nerve, vol 9. WB Saunders Comp, Philadelphia London Toronto, pp 6–180

    Google Scholar 

  5. Bellina JH, Hemmings R, Voros JIet al (1984) Carbon dioxide laser and electrosurgical wound study with an animal model: a comparison of tissue damage and healing patterns in peritoneal tissue. Am J Obstet Gynec 148: 327–334

    PubMed  Google Scholar 

  6. Bischoff A (1979) The peripheral nerves. In: Johannessen JV (ed) Electron microscopy in human medicine. Nervous system, sensory organs and respiratory tract, vol 6. McGraw-Hill International Book Company, New York, pp 48–240

    Google Scholar 

  7. Bunge MB, Williams AK, Wood PM (1982) Neuron-Schwann cell interaction in basal lamina formation. Dev Biol 92: 449–460

    PubMed  Google Scholar 

  8. Bunge RP (1983) Recent observations on the control of Schwann cell functions. The Anatomical Record [Suppl] 1: 3–25

    Google Scholar 

  9. Carey DJ, Eldridge CF, Cornbrooks CJet al (1983) Biosynthesis of typ IV collagen by cultured rat Schwann cells. J Cell Biol 97: 473–479

    PubMed  Google Scholar 

  10. Castro DJ, Abergel RP, Johnston KJet al (1983) Wound healing: biological effects of Nd: YAG laser on collagen metabolism in pig skin in comparison to thermal burn. Ann Plast Surg 11 (2): 131–140

    PubMed  Google Scholar 

  11. Daly JA, Imaeda T (1967) Electron microscopic study of Wallerian degeneration in cutaneous nerves caused by mechanical injury. Lab Invest 17 (6): 744–766

    PubMed  Google Scholar 

  12. Deck HJ (1978) Über die Entstehung und Vermeidung unbeabsichtigter Verbrennungen bei der Anwendung von Elektrokoagulationsgeräten. Geburtshilfe Frauenheilk 38: 195–198

    Google Scholar 

  13. Diedrich P, Matthiessen D (1973) Vergleichende licht- und elektronenmikroskopische Untersuchungen nach Gingivektomie mit Skalpell, Ultraschall und Elektrochirurgie. Dtsch zahnärtzlZ 28: 184–191

    Google Scholar 

  14. Dyck PJ, Thomas PK, Lambert EH (1975) Peripheral neuropathy. Saunders, Philadelphia, pp 6–182

    Google Scholar 

  15. Frangenheim H (1980) Wie sicher sind die einzelnen Methoden der laparaskopischen Tubensterilisation? Geburtshilfe Frauenheilk 40: 896–900

    Google Scholar 

  16. Friedmann J (1973) The technical aspects of electrosurgery. Oral Surgery 36: 177–187

    Google Scholar 

  17. Gamble HJ, Eames RA (1964) An electron microscope study of the connective tissues of human peripheral nerve. J Anat 98 (4): 655–663

    PubMed  Google Scholar 

  18. Helpap B (ed) (1983) Die lokale Gewebsverbrennung. Folgen der Thermochirurgie. In: Hefte zur Unfallheilkunde, No 159. Springer, Berlin Heidelberg New York, pp 2–166

    Google Scholar 

  19. Junqueira LCU, Montes GS, Krisztan RM (1979) The collagen of the vertebrate peripheral nervous system. Cell Tissue Res 202: 453–460

    PubMed  Google Scholar 

  20. Kalkwarf KL, Krejci RF, Wentz FMet al (1983) Epithelial and connective tissue healing following electrosurgical incisions in human gingiva. J Oral Maxillofac Surg 41: 80–85

    PubMed  Google Scholar 

  21. Kerl J, Staubesand J (1984) Über perilokale Auswirkungen mono- und bipolarer Elektrokoagulation bei intraoperativer arterieller Blutstillung; elektronenmikroskopische Untersuchungen an Arteria und Nervus femoralis der Ratte. Verh Anat Ges 78: 411–413

    Google Scholar 

  22. Köhnlein HE, Haussmann P, Seitz HDet al (1977) Experimentelle Untersuchung über die Wirkung von Inzisionen mit dem elektrischen Messer auf die Wundheilung. Z Exper Chirurg 10: 114–119

    Google Scholar 

  23. Kretschmer H (1984) Traumatologie der peripheren Nerven. Springer, Berlin Heidelberg New York

    Google Scholar 

  24. Kreutzberg GW (1981) Neurobiologische Aspekte der Nervenregeneration. Arch Otorhinolaryngol 231: 71–88

    PubMed  Google Scholar 

  25. Lee Jchy (1963) Electron microscopy of Wallerian degeneration. J Comp Neurol (II): 95–79

    Google Scholar 

  26. Limacher F, Bihr A (1984) Laparaskopische Tubensterilisationen. DIA-GM 18: 24–34

    Google Scholar 

  27. Ludin HP, Tackmann W (eds) (1984) Polyneuropathien. Thieme, Stuttgart, pp 24–210

    Google Scholar 

  28. Luque EH, Angulo E, Montes GS (1983) A histochemical and electron microscopic study on the collagen of nerves in the domestic fowl. J Anat 137 (1): 171–176

    PubMed  Google Scholar 

  29. Melchior H (1975) Gefahren der Elektrochirurgie. Chirurg 46: 370–373

    PubMed  Google Scholar 

  30. Milesi H (1984) Mikrochirurgie der peripheren Nerven. In: Mamoli G (Ed) Metabolische und entzündliche Polyneuropathien. Springer, Berlin Heidelberg New York, pp 312–317

    Google Scholar 

  31. Montes GS, Junqueira Lcu (1982) Biology of collagen. Rev Can Biol Experiment 41: 143–156

    Google Scholar 

  32. Morris JH, Hudson AR, Weddell G (1972) A Study of degeneration and regeneration in the divided rat sciatic nerve based on electron microscopy. Z Zellforsch 124: 76–203

    PubMed  Google Scholar 

  33. Mumenthaler M, Schliack H (eds) (1982) Läsionen peripherer Nerven. Thieme, Stuttgart, pp 6–246

    Google Scholar 

  34. Musicco N (1982) Cryosurgery or electric coagulation? An experimental study on animals. AmJ Proct Gastr Col Rect Surg 33 (8): 17–20

    Google Scholar 

  35. Nathaniel EJH, Pease DC (1963) Degenerative changes in rat dorsal roots during Wallerian degeneration. J Ultrastruct Res 9: 511–532

    Google Scholar 

  36. Nathaniel EJH, Pease DC (1963) Regenerative changes in rat dorsal roots during Wallerian degeneration. J Ultrastruct Res 9: 533–549

    Google Scholar 

  37. Nemetschek TH, Meinel A, Nemetschek-Gansler Het al (1976) Zur Ätiologie der Kontraktur beim Morbus Dupuytren. Virchows Arch A Path Anatom Histopathol 372: 57–74

    Google Scholar 

  38. Paßen A, Böckmann RD (1981) Hochfrequenz-Chirurgiegeräte. Acta medicotechnica 3: 105–176

    Google Scholar 

  39. Pfeiffer J (1984) Pathologie des peripheren Nervensystems. In: Remmele W (ed): Pathologie. Neuropathologie, Sinnesorgane, Muskulatur Band 4. Springer, Berlin Heidelberg New York

    Google Scholar 

  40. Poswillo DE (1971) A comparative study of the effects of electrosurgery and cryosurgery in the management of benign oral lesions. Br J Oral Surg 9: 1–7

    PubMed  Google Scholar 

  41. Reidenbach HD (ed) (1983) Hochfrequenz- und Lasertechnik in der Medizin. Springer, Berlin Heidelberg New York

    Google Scholar 

  42. Riedel HH, Cordts-Kleinwort G, Semm K (1983) Tierexperimentelle, morphologische und endokrinologische Untersuchung nach Anwendung verschiedener Koagulationstechniken. Zbl Gynäkol 105: 1568–1584

    Google Scholar 

  43. Riedel HH, Müller L, Mosler Het al (1982) Devitalisierung und Hämostase durch destruktive Wärme. Zbl Gynäkol 104: 489–501

    Google Scholar 

  44. Schmitt HP (1983) Die physikalischen Schäden des ZNS und seiner Hüllen. In: Doerr, Seifert, Uehlinger (eds) Pathologie des Nervensystems. Springer, Berlin Heidelberg New York, II. Band 13/II, pp 316–356

    Google Scholar 

  45. Schröder JM (1972) Zur Feinstruktur der Degeneration und Regeneration im peripheren Nerven. Med Mitteilungen der Fa. B Braun, Melsungen, Band 64, Heft 116

  46. Seddon HJ (1943) Three types of nerve injury. Brain 66: 237–243

    Google Scholar 

  47. Semm K, Philipp E (1980) Vermeidung von Spontanrekanalisationen des Eileiters post sterilisationem. Gynäkol Prax 4: 63–74

    Google Scholar 

  48. Semm K, Phillipp E (1979) Eileiterregeneration post sterilisationem. Geburtshilfe Frauenheilk 39: 14–19

    Google Scholar 

  49. Sowislo W, Drüen B. Lunkenheimer PPet al (1979) Vergleichende Beobachtungen zur Wundheilung nach Laser-, Skalpell- und Thermokauterschnitt. Zbl Chirurgie 104: 38–49

    Google Scholar 

  50. Sunderland S (1951) A classification of peripheral nerve injuries producing loss of function. Brain 74: 491–499

    PubMed  Google Scholar 

  51. Ten Bruggencate G (ed) (1984) Medizinische Neurophysiologie. Thieme, Stuttgart

    Google Scholar 

  52. Thomas PK (1964) Changes in the endoneurial sheaths of peripheral myelinated nerve fibres during Wallerian degeneration. J Anat 98: 175–182

    PubMed  Google Scholar 

  53. Thomas PK, King RH (1974) The degeneration of unmyelinated axons following nerve section: an ultrastructural study. J Neurocytol 3: 497–512.

    PubMed  Google Scholar 

  54. Vial JD (1958) The early changes in the axoplasm during Wallerian degeneration. J Biophysic Biochem Cytol 4 (5): 551–555

    Google Scholar 

  55. Zenker W (1986) Die Feinstruktur des Nervengewebes. In: Benninghoff A, Goerttler K (eds) Lehrbuch der Anatomie des Menschen, Band 3. Nervensystem. Urban und Schwarzenberg, München, pp 212–288

    Google Scholar 

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  1. Anatomisches Institut (Lehrstuhl I), University of Freiburg, Freiburg im Breisgau, Federal Republic of Germany

    J. Kerl & J. Staubesand

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  1. J. Kerl
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Kerl, J., Staubesand, J. Vascular thermocoagulation — perivascular nerve lesions an ultrastructural report on the choice between monopolar and bipolar electrocoagulation. Acta neurochir 92, 123–131 (1988). https://doi.org/10.1007/BF01401982

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