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Surgical Endoscopy

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Open Access 01-06-2011

Electrocautery causes more ischemic peritoneal tissue damage than ultrasonic dissection

Authors: Richard P. G. ten Broek, Joyce Wilbers, Harry van Goor

Published in: Surgical Endoscopy | Issue 6/2011

Abstract

Background

Minimizing peritoneal tissue injury during abdominal surgery has the benefit of reducing postoperative inflammatory response, pain, and adhesion formation. Ultrasonic dissection seems to reduce tissue damage. This study aimed to compare electrocautery and ultrasonic dissection in terms of peritoneal tissue ischemia measured by microdialysis.

Methods

In this study, 18 Wistar rats underwent a median laparotomy and had a peritoneal microdialysis catheter implanted in the left lateral sidewall. The animals were randomly assigned to receive two standard peritoneal incisions parallel to the catheter by either ultrasonic dissection or electrocautery. After the operation, samples of microdialysis dialysate were taken every 2 h until 72 h postoperatively for measurements of pyruvate, lactate, glucose, and glycerol, and ratios were calculated.

Results

The mean lactate–pyruvate ratio (LPR), lactate–glucose ratio (LGR), and glycerol concentration were significantly higher in the electrocautery group than in the ultrasonic dissection group until respectively 34, 48, and 48 h after surgery. The mean areas under the curve (AUC) of LPR, LGR, and glycerol concentration also were higher in the electrocautery group than in the ultrasonic dissection group (4,387 vs. 1,639, P = 0.011; 59 vs. 21, P = 0.008; 7,438 vs. 4,169, P = 0.008, respectively).

Conclusion

Electrosurgery causes more ischemic peritoneal tissue damage than ultrasonic dissection.

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Title: Electrocautery causes more ischemic peritoneal tissue damage than ultrasonic dissection
Authors: Richard P. G. ten Broek
Joyce Wilbers
Harry van Goor
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1474-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Electrocautery causes more ischemic peritoneal tissue damage than ultrasonic dissection

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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