Electrosurgery and Thermocoagulation at Operative Endoscopy
The ability to achieve hemostasis is integral to any laparoscopic procedure and is probably the single most important factor that delayed the evolution and widespread applicability of operative endoscopy. The modalities to achieve hemostasis essentially mirror those of laparotomy surgery. Today there are many hemostatic techniques available including lasers, suturing, clips and staples, and thermocoagulation. Nonetheless, the most widely used and least expensive method of maintaining hemostasis within the pelvis are the electrosurgical modalities. This chapter discusses electrosurgery and briefly reviews the use of thermocoagulation. The use of lasers is discussed in Chapter 6, and sutures, clips, and staples are examined in Chapter 9.
KeywordsTissue Effect Electrical Current Flow Bipolar Forceps Ground Plate Gynecologic Laparoscopist
Unable to display preview. Download preview PDF.
- 1.Reich H, Vancaille TH, Soderstrom RM. Electrical techniques. In: Martin DC, Holtz GL, Levinson CL, Soderstrom RM, eds. Manual of Endoscopy.Santa Fe Springs: American Association 6. of Gynecologic Laparoscopists; 1990:105 –112.Google Scholar
- 2.Sebben JE. Cutaneous Electrosurgery.Chicago: Year Book Medical Publishers; 1989.Google Scholar
- 3.Boesch P.F. Laparoscopie. Schweiz Z Krankenh. 1936;6:62–67.Google Scholar
- 4.Levy BS, Soderstrom RM, Dail DH. Bowel injuries during laparoscopy: gross anatomy and histology. J Reprod Med. 1985;309:168–170.Google Scholar
- 6.Semm K. Endocoagulation: a new field of endoscopic surgery.J Reprod Med. 1976;31:7–9.Google Scholar