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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Massarweh NN, Cosgriff NN, Slakey DP. Electrosurgery: history, principles, and current and future uses. J Am Coll Surg. 2006;202:520–30.
Malis LI. Electrosurgery and bipolar technology. Neurosurgery. 2006;58(Suppl 1): ONS 1–12.
Lamberton GR, Hsi RS, Jin DH, et al. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol. 2008;22:2307–12.
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.
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.
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.
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.
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.
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.
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.
Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol. 2003;102(1):147–51.
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.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights 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)