Bipolar Electrosurgical Devices

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.

[1]  Nader N Massarweh,et al.  Electrosurgery: history, principles, and current and future uses. , 2006, Journal of the American College of Surgeons.

[2]  K. Nagakari,et al.  Comparison of two different energy-based vascular sealing systems for the hemostasis of various types of arteries: a porcine model-evaluation of LigaSure ForceTriad™. , 2010, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[3]  L. Emery,et al.  Randomized Trial of Suture Versus Electrosurgical Bipolar Vessel Sealing in Vaginal Hysterectomy , 2003, Obstetrics and gynecology.

[4]  David A. Iannitti,et al.  Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices , 2008, Surgical Endoscopy.

[5]  D Duane Baldwin,et al.  Prospective comparison of four laparoscopic vessel ligation devices. , 2008, Journal of endourology.

[6]  M. C. Vos,et al.  Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy: a randomized trial. , 2008, Journal of minimally invasive gynecology.

[7]  Franklin Dexter,et al.  Operative Time and Other Outcomes of the Electrothermal Bipolar Vessel Sealing System (LigaSure™) Versus Other Methods for Surgical Hemostasis: A Meta-Analysis , 2008, Surgical innovation.

[8]  James E. Coad,et al.  Comparison of four energy-based vascular sealing and cutting instruments: A porcine model , 2008, Surgical Endoscopy.

[9]  L. Malis Electrosurgery and bipolar technology. , 2006, Neurosurgery.

[10]  D. Viskochil,et al.  Molecular, Genetic, and Cellular Pathogenesis of Neurofibromas and Surgical Implications , 2006, Neurosurgery.

[11]  E. Targarona,et al.  Energy Sources for Laparoscopic Colectomy: A Prospective Randomized Comparison of Conventional Electrosurgery, Bipolar Computer-Controlled Electrosurgery and Ultrasonic Dissection. Operative Outcome and Costs Analysis , 2005, Surgical innovation.

[12]  D. Lobo,et al.  Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel™ and the Ligasure™ , 2010, The British journal of surgery.

[13]  A. Cuschieri,et al.  Thermal spread and heat absorbance differences between open and laparoscopic surgeries during energized dissections by electrosurgical instruments , 2009, Surgical Endoscopy.