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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 9/2013

01.09.2013 | Review

Common uses and cited complications of energy in surgery

verfasst von: Ganesh Sankaranarayanan, Rajeswara R. Resapu, Daniel B. Jones, Steven Schwaitzberg, Suvranu De

Erschienen in: Surgical Endoscopy | Ausgabe 9/2013

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Abstract

Background

Instruments that apply energy to cut, coagulate, and dissect tissue with minimal bleeding facilitate surgery. The improper use of energy devices may increase patient morbidity and mortality. The current article reviews various energy sources in terms of their common uses and safe practices.

Methods

For the purpose of this review, a general search was conducted through NCBI, SpringerLink, and Google. Articles describing laparoscopic or minimally invasive surgeries using single or multiple energy sources are considered, as are articles comparing various commercial energy devices in laboratory settings. Keywords, such as laparoscopy, energy, laser, electrosurgery, monopolar, bipolar, harmonic, ultrasonic, cryosurgery, argon beam, laser, complications, and death were used in the search.

Results

A review of the literature shows that the performance of the energy devices depends upon the type of procedure. There is no consensus as to which device is optimal for a given procedure. The technical skill level of the surgeon and the knowledge about the devices are both important factors in deciding safe outcomes.

Conclusions

As new energy devices enter the market increases, surgeons should be aware of their indicated use in laparoscopic, endoscopic, and open surgery.
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Metadaten
Titel
Common uses and cited complications of energy in surgery
verfasst von
Ganesh Sankaranarayanan
Rajeswara R. Resapu
Daniel B. Jones
Steven Schwaitzberg
Suvranu De
Publikationsdatum
01.09.2013
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 9/2013
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-013-2823-9

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