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Common uses and cited complications of energy in surgery

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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Disclosures

Drs. Ganesh Sankaranarayanan, Rajeswara Resapu, Daniel B. Jones, Steven Schwaitzberg, and Suvranu De have no conflict of interest or financial ties to disclose.

Funding

NIBIB/NIH Grants # R01EB010037, # R01 EB009362, # R01 EB005807 and # R01 EB014305.

Author information

Correspondence to Suvranu De.

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Sankaranarayanan, G., Resapu, R.R., Jones, D.B. et al. Common uses and cited complications of energy in surgery. Surg Endosc 27, 3056–3072 (2013). https://doi.org/10.1007/s00464-013-2823-9

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Keywords

  • Minimally invasive surgery
  • Electrosurgery
  • Ultrasonic
  • Harmonic scalpel
  • Argon beam coagulation
  • Laser
  • Radio frequency ablation
  • Thermal damage
  • Embolism
  • Fire