Electrosurgery and Thermocoagulation at Operative Endoscopy

  • Ricardo Azziz


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.


Tissue Effect Electrical Current Flow Bipolar Forceps Ground Plate Gynecologic Laparoscopist 
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© Springer Science+Business Media New York 1997

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  • Ricardo Azziz

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