Skip to main content

Abstract

From the early days of direct cautery and monopolar radiofrequency (RF) instrumentation, bipolar electrosurgical devices have evolved and enabled remarkable surgical outcomes in today’s technologically advanced operating room. Inherent in the bipolar design is an increased degree of electrosurgical safety, and through ongoing innovation, these instruments continue to enhance surgical efficacy and efficiency. Currently, there exist a variety of electrosurgical devices, each with its own unique characteristics and features, but comparative studies that allow meaningful analyses and evaluation are somewhat lacking. Further study and future research are necessary and mandatory in order to keep pace with rapid advancements.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Massarweh NN, Cosgriff NN, Slakey DP. Electrosurgery: history, principles, and current and future uses. J Am Coll Surg. 2006;202:520–30.

    Article  PubMed  Google Scholar 

  2. Malis LI. Electrosurgery and bipolar technology. Neurosurgery. 2006;58(Suppl 1): ONS 1–12.

    Google Scholar 

  3. Lamberton GR, Hsi RS, Jin DH, et al. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol. 2008;22:2307–12.

    Article  PubMed  Google Scholar 

  4. Person B, Vivas DA, Ruiz D, Talcott M, Coad JE, Wexner SD. Comparison of four energy-based vascular sealing and cutting instruments: a porcine model. Surg Endosc. 2008;22:534–8.

    Article  PubMed  Google Scholar 

  5. Newcomb WL, Hope WW, Schmeizer TM, et al. Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices. Surg Endosc. 2009;23:90–6.

    Article  PubMed  Google Scholar 

  6. Sutton PA, Awad S, Perkins AC, Lobo DN. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the harmonic scalpel and the ligasure. Br J Surg. 2010;97:428–33.

    Article  PubMed  CAS  Google Scholar 

  7. Targarona EM, Balague C, Marin J, et al. Energy sources of laparoscopic colectomy: a prospective randomized comparison of conventional electrosurgery, bipolar compter-controlled electrosurgery and ultrasonic dissection. Operative outcome and costs analysis. Surg Innov. 2005;12(4):339–44.

    Article  PubMed  Google Scholar 

  8. Katsuno G, Nagakari K, Fukunaga M. Comparison of two different energy-based vascular sealing systems for the hemostasis of various types of arteries: a porcine model-evaluation of LigaSure ForceTriad™. J Laparoendosc Adv Surg Tech A. 2010;20(9):747–51.

    Article  PubMed  Google Scholar 

  9. Song C, Tang B, Campbell PA, Cuschieri A. Thermal spread and heat absorbance differences between open and laparoscopic surgeries during energized dissections by electrosurgical instruments. Surg Endosc. 2009;23(11):2480–7.

    Article  PubMed  CAS  Google Scholar 

  10. Lakeman M, Kruitwagen RF, Vos MC, Roovers JP. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy: a randomized trial. J Minim Invasive Gynecol. 2008;15(5):547–53.

    Article  PubMed  Google Scholar 

  11. Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol. 2003;102(1):147–51.

    Article  PubMed  Google Scholar 

  12. Macario A, Dexter F, Sypal J, Cosgriff N, Heniford BT. Operative time and other outcomes of the electrothermal bipolar vessel sealing system (LigaSure) versus other methods for surgical hemostasis: a meta-analysis. Surg Innov. 2008;15(4):284–91.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Park, C.W., Portenier, D.D. (2012). Bipolar Electrosurgical Devices. In: Feldman, L., Fuchshuber, P., Jones, D. (eds) The SAGES Manual on the Fundamental Use of Surgical Energy (FUSE). Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2074-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-2074-3_5

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-2073-6

  • Online ISBN: 978-1-4614-2074-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics