Laparoscopic Hysterectomy Using Monopolar Energy in Swine: A Histopathological Assessment of Electrosurgical Power

Christopher J. Iwanoff, Heather M. Barbier, Jason C. Massengill, Eric Lombardini, Christine Christensen, Jerome L. Buller, Daniel D. Gruber

Research output: Contribution to journalArticlepeer-review

Abstract

<p> <h2> Study Objective </h2> <p id="x-x-p0010"> The purpose of this study is to assess the extent of vaginal <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tissue-injury" title="Learn more about Tissue Injury"> tissue injury </a> associated with the utilization of various monopolar electrosurgical power settings when performing the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/colpotomy" title="Learn more about Colpotomy"> colpotomy </a> . <h2> Design </h2> <p id="x-x-p0015"> This is an IACUC-approved prospective, paired, single blinded study. Swine <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vagina" title="Learn more about Vagina"> vagina </a> was transected using monopolar energy at 30, 50 and 80W in the cut mode with laparoscopic endoshears. Slides were prepared and stained with both H&amp;E and Masson's <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/trichrome" title="Learn more about Trichrome"> trichrome </a> and examined by a board certified veterinary pathologist. <h2> Setting </h2> <p id="x-x-p0020"> This study was performed at the Uniformed Services University of the Health Sciences (USUHS) in Bethesda, MD. <h2> Measurements and Main Results </h2> <p id="x-x-p0025"> There were 18 swine, each animal was tested on all three power settings (n=54). At 30W <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tissue-injury" title="Learn more about Tissue Injury"> tissue injury </a> was measured to a mean of 767 (&plusmn;519) &mu;m, at 50W = 690 (&plusmn;600) &mu;m and at 80W = 556 (&plusmn;470) &mu;m (p=0.43). </p> </p> </p> </p></p>
Original languageAmerican English
Pages (from-to)S19-S20
JournalJournal of Minimally Invasive Gynecology
Volume20
Issue number6, Supplement
DOIs
StatePublished - Nov 2013
Event42nd AAGL Global Congress of Minimally Invasive Gynecology - Gaylord National Resort & Convention Center, Washington, United States
Duration: Nov 10 2013Nov 14 2013

Disciplines

  • Obstetrics and Gynecology

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