Electrosurgery |
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Authors: | Kieran GallagherBaljinder Dhinsa Jonathan Miles |
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Institution: | Kieran Gallagher BSc MBBS MRCS is a Specialist Registrar in Trauma & Orthopaedics at St. Helier’s Hospital, London, UK. Conflicts of interest: none declared Baljinder Dhinsa MBBS MRCS is a Clinical Research Fellow at the Royal National Orthopaedic Hospital, Stanmore, London, UK. Conflicts of interest: none declared Jonathan Miles MBChB FRCS (Tr & Orth) is an Orthopaedic Consultant at the Royal National Orthopaedic Hospital, Stanmore, London, UK. Conflicts of interest: none declared |
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Abstract: | Electrosurgery is used clinically for coagulation, cutting, desiccation and fulguration of tissue. The principle of heat production by passing electrical current through tissue is modified to produce these effects. Monopolar and bipolar electrosurgical circuits are most commonly used. The monopolar circuit requires electrical current to flow through the human body, whilst in the bipolar system the current flows from one tine to the other through the tissue held by the forceps. Complications of electrosurgery include burns, risk of explosion if combustible gases are used, interference with pacemakers and production of surgical smoke. |
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Keywords: | Argon beam bipolar coagulation cutting diathermy electrosurgery monopolar |
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