Relationship between tissue tension and thermal diffusion to peripheral tissue using an energy device

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• 作者：Akihiro Kondo ; Yuji Nishizawa ; Masaaki Ito ; Norio Saito ; Satoshi Fujii ; Shintaro Akamoto ; Masao Fujiwara ; Keiichi Okano and Yasuyuki Suzuki
• 刊名：Asian Journal of Endoscopic Surgery
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：9
• 期：3
• 页码：226-230
• 全文大小：769K
• ISSN：1758-5910

文摘

The aim of the study was to assess the relationship between tissue tension and thermal diffusion to peripheral tissues using an electric scalpel, ultrasonically activated device, or a bipolar sealing system. The mesentery of pigs was excised with each energy device (ED) at three tissue tensions (0, 300, 600 g). The excision time and thermal diffusion area were monitored with thermography, measured for each ED, and then histologically examined. Correlations between tissue tension and thermal diffusion area were examined. The excision time was inversely correlated with tissue tension for all ED (electric scalpel, r = 0.718; ultrasonically activated device, r = 0.949; bipolar sealing system, r = 0.843), and tissue tension was inversely correlated with the thermal diffusion area with the electric scalpel (r = 0.718) and bipolar sealing system (r = 0.869). Histopathologically, limited deep thermal denaturation occurred at a tension of 600 g with all ED. We conclude that thermal damage can be avoided with adequate tissue tension when any ED is used.