PMID: 9171127Jun 1, 1997Paper

Port site electrosurgical (diathermy) burns during surgical laparoscopy

Surgical Endoscopy
P D WillsonJ Rogers

Abstract

Direct and capacitive coupling of diathermy current have been reported as causes of occult injury during surgical laparoscopy. In order to determine the incidence of electrosurgical injury adjacent to metal and plastic cannulas, skin biopsies at 19 port sites used for monopolar electrosurgery were analyzed for coagulative necrosis. Prior to surgery the cannulas were randomized to either metal or plastic. Coagulative necrosis was observed at nine electrosurgery port sites compared to only one control (chi2 = 4.872; df = 1; 0.05 > p > 0.02). Plastic cannulas afforded no greater protection from skin burns than metal cannulas. Burns may be the result of direct or capacitive coupling to metal cannulas or capacitive coupling to the skin edge across plastic cannulas. The potential exists for burns to other tissues also in close proximity to a cannula used for electrosurgery.

Citations

Jul 3, 2009·Surgical Endoscopy·Paul N MonteroGreg V Stiegmann
Mar 17, 2004·Burns : Journal of the International Society for Burn Injuries·M Taifour Suliman
Nov 13, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·M JollyN M Fisk
Sep 25, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dirk Meijer
Jun 16, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Brij B AgarwalKrishan C Mahajan
Jul 8, 2009·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A AssiotisA Huang
Jan 29, 2003·British Journal of Plastic Surgery·Darren L Chester
Apr 1, 2005·AORN Journal·UNKNOWN AORN Recommended Practices Committee
Mar 19, 2014·Journal of the American Academy of Dermatology·Arash TaheriPhillip M Williford
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Jun 9, 2005·The Journal of International Medical Research·A PolychronidisC Simopoulos
Mar 9, 2004·AORN Journal·UNKNOWN Association of periOperative Registered Nurses Recommended Practices Committee
Jan 31, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Francesco Maria CarranoNicola Di Lorenzo

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