Outpatient Surgery Magazine

Abdominal Surgery Supplement - March 2013

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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T I S S U E M A N A G E M E N T The size of the working jaws can coagulate and seal vessels up to 5mm (an improvement over old systems). Additionally, depth of penetration is very precise and can simultaneously cut and coagulate with minimal spread of energy, resulting in less lateral tissue damage. Software modules allow a range of settings that can be activated intraoperatively, meaning a high-power setting can be used when dense tissue is encountered, then returned to a lower-power setting to control hemostasis — without compromising continual cutting. And the sensitive software will cause blade failure or a system error if the surgeon overdoes it on the pressure. Bipolar advancements Traditional bipolar electrosurgery systems offered upgraded safety over monopolar systems — but surgeons still had little in the way of control over energy flow, which could lead to excessive thermal tissue injury. And coagulation wasn't optimal. Advanced bipolar systems might offer some improvements over the old standbys. Surgeons can cut and seal at the same time, durably and more accurately, and vessel lumens can be sealed so that they can withstand burst pressures up to 750mmHg. Instrument jaws have a smaller depth of bite (under 1mm) and may come with fine, blunt tips, but vessel-sealing capacity is greater. That means lumens up to 7mm can be sealed with decreased trauma to tissue while retaining better grip ability.

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