Safe use of electrosurgery in gynaecological laparoscopic surgery

AbstractKey contentIt is crucial to understand the basics of electrosurgery to deliver safe and effective laparoscopic surgeryElectrosurgical tissue effects include vaporisation, desiccation and coagulation, which help achieve cutting, dissection, ablation and haemostasis during surgeryElectrosurgery is delivered through monopolar and bipolar instrumentsSurgeons can avoid complications of electrosurgery by understanding the mechanisms underlying themEstablishment of a formal training programme in surgical energy is needed for surgeons and theatre staff to provide safe laparoscopic surgery.Learning objectivesTo understand the applied physics of electrosurgeryTo describe the various electrosurgical tissue effects and the variables controlling themTo identify the differences between monopolar and bipolar instrumentsTo know the mechanisms of various electrosurgical complications and safety measures to avoid them.Ethical issuesIs it ethical to use energy devices in laparoscopic surgery with little or no formal training about their appropriate use and safety?Do surgeons need to know about all energy devices they use in operating theatres?Should all allied healthcare professionals working in operating theatres undergo formal training on the use of electrosurgery?.
Source: The Obstetrician and Gynaecologist - Category: OBGYN Authors: Tags: Reviews Source Type: research