SCImago Journal & Country Rank
This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE)
[ PDF ] [ Similar Articles ]
DOI: 10.5146/tjpath.2016.01377
Comparison of Three Different New Bipolar Energy Modalities and Classic Bipolar in Vivo for Tissue Thermal Spread
Melike Demir ÇALTEKİN1, Serpil AYDOĞMUŞ2, Serenat Eriş YALÇIN3, Emine DEMİREL2, Fulya CAKALAĞAOĞLU UNAY4, Pelin ÖZÜN ÖZBAY5, Aslı Deniz CEYHAN ÖZDEMİR2, Yakup YALÇIN6, Sefa KELEKÇİ2
1Department of Obstetrics and Gynecology, Malatya Hospital, Malatya, Turkey
2Katip Çelebi University Ataturk Training and Research Hospital, İzmİr, Turkey
3Isparta Obstetrics and Pediatrics Hospital, Isparta, Turkey
4Department of Pathology, Katip Çelebi University Ataturk Training and Research Hospital, İzmİr, Turkey
5Department of Obstetrics and Gynecology, Aydın Obstetrics and Pediatrics Hospital, Aydın, Turkey
6Department of Gynecologic Oncology, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey
Keywords: Surgery, LigaSure™, Enseal®, Plasmakinetics™, Thermal damage

Objective: The aim of this study was to compare three different new bipolar energy modalities and classic bipolar in vivo for tissue thermal spread.

Material and Method: This prospective, randomized, single-blind study was conducted between Septemsber 2012 and July 2013. Eighteen patients aged 40-65 years undergoing hysterectomy and bilateral salpingectomy for benign etiology were included in the study. Before the hysterectomy operation began, it was marked nearly distal third cm started from uterine corn and proximal close third cm started from fimbrial bottoms by visualizing both fallopian tubes. The surgery was performed using one 5 mm applicator of PlasmaKinetics™, EnSeal®, LigaSure™ or classic bipolar energy modality. The time each device was used was standardized as the minimum time of the audible warning of the device for tissue impedance and as tissue vaporization on classic bipolar. Tissues were dyed by both H&E and Masson's Trichrome in the pathology laboratory. Thermal spread was compared.

Results: Evaluation of the damage on the uterine tubes by each device used revealed that LigaSure™ was associated with increased thermal injury compared to PlasmaKinetics™ (p=0.007). Apart from PlasmaKineticsTM (p=0.022), there was no statistically significant difference between the three devices in terms of thermal damage spread in the distal and proximal fallopian tubes.

Conclusion: To reduce lateral thermal damage, Plasmakinetics™ may be preferable to Ligasure™ among the three different new bipolar energy modalities.


[ PDF ] [ Similar Articles ]