scholarly journals Combustion of pneumoperitoneum: a rare danger in the operating room

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
William T McSweeney ◽  
Brian Kirkby
Keyword(s):  
Operating Room ◽  
Exploratory Laparotomy ◽  
Energy Devices ◽  
Hazardous Event ◽  
Surgical Energy ◽  
Inspired Oxygen

Abstract Fire or combustion occurring during laparotomy is an uncommon and potentially hazardous event that can be precipitated by the use of surgical energy devices in the presence of enteric gases or exogenous materials present in the abdomen such as alcohol. Oxygen necessary for a combustive event can be increased in the setting of a proximal enteric injury and with higher concentrations of inspired oxygen during anaesthesia. We report on a case of combustion on entry to the abdomen using monopolar diathermy during exploratory laparotomy for gastric antral perforation in the presence of alcohol and enteric gases.

Risk management for surgical energy-driven devices used in the operating room

2018 ◽  
Vol 155 (4) ◽  
pp. 259-264 ◽  
Author(s):  
F. Borie ◽  
M. Mathonnet ◽  
A. Deleuze ◽  
B. Millat ◽  
J.-F. Gravié ◽  
...  
Keyword(s):  
Risk Management ◽  
Operating Room ◽  
Surgical Energy

scholarly journals Electrocautery, Diathermy, and Surgical Energy Devices

2020 ◽  
Vol 272 (3) ◽  
pp. e257-e262 ◽  
Author(s):  
Kimberley Zakka ◽  
Simon Erridge ◽  
Swathikan Chidambaram ◽  
Jasmine Winter Beatty ◽  
Michael Kynoch ◽  
...  
Keyword(s):  
Energy Devices ◽  
Surgical Energy

Evaluation of Surgical Energy Devices for Vessel Sealing and Peripheral Energy Spread in a Porcine Model

2007 ◽  
Vol 178 (6) ◽  
pp. 2689-2693 ◽  
Author(s):  
Gregory W. Hruby ◽  
Franzo C. Marruffo ◽  
Evren Durak ◽  
Sean M. Collins ◽  
Phillip Pierorazio ◽  
...  
Keyword(s):  
Porcine Model ◽  
Energy Spread ◽  
Energy Devices ◽  
Vessel Sealing ◽  
Surgical Energy

The safe use of surgical energy devices by surgeons may be overestimated

2018 ◽  
Vol 32 (9) ◽  
pp. 3861-3867 ◽  
Author(s):  
Ally Ha ◽  
Carly Richards ◽  
Erik Criman ◽  
Jillian Piaggione ◽  
Christopher Yheulon ◽  
...  
Keyword(s):  
Energy Devices ◽  
Surgical Energy

Tissue Response to Surgical Energy Devices

Urology ◽  
2008 ◽  
Vol 71 (4) ◽  
pp. 744-748 ◽  
Author(s):  
Courtney K. Phillips ◽  
Gregory W. Hruby ◽  
Evren Durak ◽  
Daniel S. Lehman ◽  
Peter A. Humphrey ◽  
...  
Keyword(s):  
Tissue Response ◽  
Energy Devices ◽  
Surgical Energy

scholarly journals Knowledge Assessment among Surgeons about Energy Devices safe use: A Multicenter Cross Sectional Study

2021 ◽  
Author(s):  
Emad Aljohani ◽  
Fahad Almadi ◽  
Yusuke Watanabe ◽  
Abdullah Aldawsari ◽  
Mohammed Alsuwaigh ◽  
...  
Keyword(s):  
General Surgery ◽  
Electrical Energy ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Energy Devices ◽  
Surgical Trainees ◽  
Level Of Understanding ◽  
Surgical Energy ◽  
Junior Residents

Objective: To assess General Surgery trainee’s knowledge about safe use of energy devices in two tertiary hospitals in Riyadh, Saudi Arabia Background: Electro surgery is the use of high-frequency electrical energy to achieve cutting, and coagulation. This method has become ubiquitous worldwide for the purpose of achieving rapid hemostasis and rapid dissection of tissues Methods:   Participants completed a 35-item multiple choice question examination, testing critical knowledge of ES. The examination was developed according to the objectives and blueprints of SAGES’ Fundamental Use of Surgical Energy curriculum. Sections of the examination included: principles of ES, ES-related adverse events, monopolar and bipolar devices, and pediatric considerations and interference with implantable devices.’’ Scores were compared between juniors and seniors participants. Results: A total of 51 general surgical trainees from two academic hospitals completed the assessment. 15.69% of the participants correctly answered 30 questions out of 35 questions, 39.22% of the participants responded correctly to 20 questions out of 35 answers, and 45.09 who responded correctly to less than 20 questions. It was found that 52.2% of the individuals with a low level of understanding were junior residents as opposed to 87.5% of the participants with the highest level of understanding were senior residents with a significant P-value of 0.04. Conclusions: majority of general surgery residents enrolled in the Saudi Arabian board of surgery lack adequate knowledge about the safe and efficient use of surgical energy devices. The level of understanding is lower among the junior residents than seniors.

961: Evaluation of Surgical Energy-Devices for Vessel Sealing and Peripheral Energy Spread in a Porcine Model: Harmonic ACE, Harmonic LCS-C5 Ligasure 5, and Trisector

2007 ◽  
Vol 177 (4S) ◽  
pp. 318-318 ◽  
Author(s):  
Gregory W. Hruby ◽  
Franzo Marruffo ◽  
Evren Durak ◽  
Sean M. Collins ◽  
Phillip M. Pierorazio ◽  
...  
Keyword(s):  
Porcine Model ◽  
Energy Spread ◽  
Energy Devices ◽  
Vessel Sealing ◽  
Surgical Energy ◽  
Harmonic Ace

A Novel Dual-Phase Activation-Dependent Foot-Switch Mechanism for Surgical Energy Devices as an Asset in Early Surgical Training: A Proof of Concept Study

2019 ◽  
Vol 27 (1) ◽  
pp. 54-59
Author(s):  
Abdalla Eisawi ◽  
Myat Aung ◽  
Ruben Canelo
Keyword(s):  
Surgical Training ◽  
Improve Patient Safety ◽  
Medical Engineering ◽  
World Health ◽  
Positive Role ◽  
Surgical Safety ◽  
Energy Devices ◽  
Health Organization ◽  
Surgical Energy ◽  
Novice Surgeon

Introduction. Many processes exist that limit or eliminate the incidence of adverse events in general surgery including the World Health Organization safety checklist. Technology and device advancement has a potentially expanding role in the context of surgical safety. Materials and Methods. A dual controlled accessory electrical diathermy footswitch ( Permissive diathermy foot switch device or PDf) device concept was developed in an effort to improve patient safety in theatre and enhance opportunities in training. Electrical diathermy is only activated if the senior supervising surgeon and the novice surgeon simultaneously activate their interconnected footswitches. The activation of the PDf accessory footswitch device allows a senior surgeon to exert control on “initiation” of activation of diathermy devices operated by a novice surgeon ( foot on pedal) as well as when desiring to deactivate the device ( foot off pedal). Results. A process of designing and prototyping was initiated to define the purpose and the functionality of the PDf device up till the stage of a fully functioning prototype. The PDf device was constructed as a final working and tested prototype in association with the local medical engineering department at the Cumberland Infirmary in Carlisle. The device was on a nonbiological model to determine efficacy and safety and passed its laboratory testing phase and was deemed ready for clinical use. Conclusion. We demonstrated the feasibility and functionality of the PDf device and propose a positive role in surgical training in the context of early surgical training and specific circumstances where more control is needed.

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