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Verfasst von:Stefanovic, Stefan [VerfasserIn]   i
 Sütterlin, Marc [VerfasserIn]   i
 Gaiser, Timo [VerfasserIn]   i
 Scharff, Christoph [VerfasserIn]   i
 Neumann, Marcel [VerfasserIn]   i
 Berger, Laura [VerfasserIn]   i
 Froemmel, Niklas [VerfasserIn]   i
 Tuschy, Benjamin [VerfasserIn]   i
 Berlit, Sebastian [VerfasserIn]   i
Titel:Microscopic, macroscopic and thermal impact of argon plasma, diode laser, and electrocoagulation on ovarian tissue
Verf.angabe:Stefan Stefanovic, Marc Sütterlin, Timo Gaiser, Christoph Scharff, Marcel Neumann, Laura Berger, Niklas Froemmel, Benjamin Tuschy and Sebastian Berlit
E-Jahr:2023
Jahr:March-April 2023
Umfang:8 S.
Illustrationen:Illustrationen
Fussnoten:Online veröffentlicht: 7. März 2023 ; Gesehen am 17.07.2024
Titel Quelle:Enthalten in: In vivo
Ort Quelle:Kapandriti, Attiki : IIAR, 2004
Jahr Quelle:2023
Band/Heft Quelle:37(2023), 2 vom: März/Apr., Seite 531-538
ISSN Quelle:1791-7549
Abstract:Background/Aim: To compare the microscopic, macroscopic and thermal damage inflicted to ovarian tissue by conventional monopolar and bipolar energy, argon plasma coagulation (APC) and diode laser. Materials and Methods: Bovine ovaries were used as a substitute for human tissue and subjected to the four aforementioned techniques and the inflicted damage was measured. Sixty fresh and morphologically similar cadaveric bovine ovaries were divided into five equal groups, each group was subjected to one of the following energy applications for both 1 and 5 s: Monopolar, bipolar electrocoagulation, diode laser, preciseAPC® and forcedAPC®. Ovarian temperatures were measured at 4 and 8 s after treatment. Formalin-fixed ovarian specimens were examined by pathologists regarding macroscopic, microscopic and thermal tissue damage. Results: None of the ovaries reached the temperature producing severe damage (40°C) after 1 s of energy transfer. Heating of adjacent ovarian tissue was least pronounced when preciseAPC® and monopolar electrocoagulation were applied (27.2±3.3°C and 28.2±2.9°C after 5 s of application, respectively). Conversely, 41.7% of the ovaries subjected to bipolar electrocoagulation for 5 s overheated. ForcedAPC® resulted in the most pronounced lateral tissue defects (2.8±0.3 mm after 1 s and 4.7±0.6 mm after 5 s). When the modalities were applied for 5 s, the electrosurgical instruments (mono- and bipolar) and preciseAPC® induced similar lateral tissue damage (1.3±0.6 mm, 1.1±1.6 mm and 1.2±1.3 mm, respectively). preciseAPC® created the shallowest defect of all the techniques (0.05±0.1 mm after 5 s of application). Conclusion: Our study hints at superior safety profiles of preciseAPC® and monopolar electrocoagulation compared to bipolar electrocoagulation, diode laser and forcedAPC® for ovarian laparoscopic surgery.
DOI:doi:10.21873/invivo.13111
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.21873/invivo.13111
 kostenfrei: Volltext: https://iv.iiarjournals.org/content/37/2/531
 DOI: https://doi.org/10.21873/invivo.13111
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Argon plasma
 damage analysis
 diode laser
 electrosurgery
 ovarian reserve
K10plus-PPN:189563301X
Verknüpfungen:→ Zeitschrift

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