Novel quantum molecular resonance energy source for laparoscopic bipolar vessel sealer: An experimental study in animal model

2020 ◽  
Author(s):  
Jiwoong Yu ◽  
Jungeun Im ◽  
Soonyoung Kwon ◽  
Jongchan Kim ◽  
Sungmin Kim ◽  
...  
Keyword(s):  
Energy Source ◽  
Animal Experiments ◽  
Surrounding Tissue ◽  
Energy Sources ◽  
Success Rates ◽  
Surgical Smoke ◽  
Vessel Sealing ◽  
Bipolar Energy ◽  
Molecular Resonance ◽  
Bipolar Vessel

Abstract Background: The majority of conventional bipolar energy-based vessel sealing devices utilize energy at frequencies between 300 kHz and 500 kHz. The use of such frequencies has the disadvantages including unintended damage to surrounding tissues and excessive surgical smoke production. Here, we developed an bipolar energy source using Quantum Molecular Resonance (QMR) energy of 4–64 MHz and combined this into a laparoscopic vessel sealer. We investigate the microscopic tissue effect and surgeon's experiences of laparoscopic bipolar vessel sealer using a novel QMR energy source through animal experiments. Results: In an open surgical setting, QMR energy sources showed higher sealing success rates (100% vs. 66.7%) and higher burst pressure (963 mmHg vs. 802mmHg) of the sealed vessels compared to LigaSure™. Histological analysis showed less vessel wall injury in the QMR energy source (55.0% vs. 73.9%). In the laparoscopic setting experiments, compared to LigaSure™, QMR energy sources showed statistically significantly less smoke formation (p = 0.014), less tissue carbonization (p = 0.013), and less stickiness (p = 0.044) during sealing tissues. Conclusions: Novel QMR energy source for laparoscopic bipolar vessel sealer could produce better sealing performance and less surrounding tissue damage compared to the conventional devices. Laparoscopic surgery using QMR energy sources showed better surgeon's experiences in terms of surgical smoke formation, tissue carbonization, and stickiness.

Use of the No-Touch Saphenous Vein Harvesting Technique via Small Incisions

2019 ◽  
Vol 15 (1) ◽  
pp. 81-84
Author(s):  
Ichiro Hayashi ◽  
Ichiro Kashima ◽  
Eiji Yoshikawa
Keyword(s):  
Saphenous Vein ◽  
Vasa Vasorum ◽  
Surrounding Tissue ◽  
Wound Complications ◽  
Main Trunk ◽  
Vessel Sealing ◽  
Harvesting Technique ◽  
Sealing Device ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

There are substantial data in support of improved patency using the no-touch (NT) saphenous vein (SV) harvesting technique. However, wound complications correlated with such are more significant than those associated with the skeletonized technique. To solve this, we introduced the use of the electrothermal bipolar vessel sealing device via small incisions. In this study, a cordless retractor with a built-in LED light source was utilized. The NT-SV graft was harvested with a pedicle of surrounding tissue approximately 5 mm in size and attached to the main trunk. The intima, tunica media, adventitia, and vasa vasorum appeared normal by histological analysis. Our technique combines the potential advantages of a minimally invasive endoscope approach using bipolar electrothermy and the improved patency of a NT-SV.

Studi Analisa Potensi Sumber Air sebagai Pembangkit Listrik Tenaga Mikrohidro (PLTMH) di Karungan Kelurahan Mamburungan Timur Kota Tarakan

2021 ◽  
Vol 4 (2) ◽  
pp. 22-26
Author(s):  
Hadi Santoso ◽  
Eris Santoso ◽  
Ruslim Ruslim
Keyword(s):  
Energy Source ◽  
Alternative Energy ◽  
Renewable Energy Sources ◽  
Water Discharge ◽  
Electrical Energy ◽  
Water Source ◽  
Energy Sources ◽  
Hydro Power ◽  
The People ◽  
City Water

The supply of electrical energy in Tarakan City, North Kalimantan, still relies on diesel power which uses a limited number of petroleum energy sources. There is a need for research related to renewable energy sources that have the potential to become alternative energy for the people of Tarakan City. Water is an energy source that has great potential to generate electricity. The energy source that should be taken into account is micro-hydro which can be used as a Micro-hydro Power Plant (PLTMH). A survey of micro-hydro sources in Tarakan City, precisely in the Karungan area, East Mamburungan Village, has been carried out with the direct measurement method of water discharge and the relationship with the power generated. The result shows the water source has a discharge 0.00034 m3/ s, the water velocity of 0.035 m/s and generates power only up to 1.1 watts. Based on the power obtained, the water source in this place cannot be used as a source of micro-hydro energy, but has the potential as a source of pico-hydro energy.

scholarly journals Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Mustafa Ulubay ◽  
Mehmet Ferdi Kıncı ◽  
Ramazan Erda Pay ◽  
Murat Dede
Keyword(s):  
Operation Time ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Intraoperative Blood Loss ◽  
Incision Length ◽  
Vessel Sealing ◽  
Significant Difference ◽  
Duration Of Hospitalization ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

Objectives: To compare the use of Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) with conventional suture ligation in total abdominal hysterectomy (TAH). Methods: In this retrospective study 80 patients who underwent hysterectomy in the Gynecology and Obstetrics Department of Gulhane Education and Research Hospital between April 2017 and August 2018 were included. Two different groups that underwent Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) and conventional suture ligation in hysterectomy operation were analyzed retrospectively. The parameters evaluated and compared between the two groups include operation time, intraoperative blood loss, duration of hospitalization and incision length. Results: Among the parameters we compared between the two groups, there was no statistically significant difference between the amount of intraoperative blood loss (p:0.68) and the incision length (p:0.65). Among the parameters we compared between the two groups, a statistically significant difference was observed between the operation time (p:0.016) and the duration of hospitalization (p:0.01). Conclusion: Our comparison of LSJI vs. conventional ligation in hysterectomy revealed a significant difference only in operative time, where surgeries involving conventional ligation were shorter. On the other hand, incision length was evaluated in our study which has not been addressed in previous studies. There is also a need for multi-center studies that include more patients and evaluate cost-effectiveness. doi: https://doi.org/10.12669/pjms.38.1.4197 How to cite this:Ulubay M, Kinci MF, Pay RE, Dede M. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4197 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Viability of Peranakan Etawah Liquid Semen Preserved in Tris Substituted with Various Energy Sources

2020 ◽  
Vol 25 (2) ◽  
pp. 68
Author(s):  
Nurul Afzan Hilda Zakiya ◽  
A H Yanti ◽  
T R Setyawati
Keyword(s):  
Energy Source ◽  
Artificial Insemination ◽  
Block Design ◽  
Egg Yolk ◽  
Energy Sources ◽  
Randomized Block Design ◽  
Frozen Semen ◽  
Semen Preservation ◽  
Semen Extender ◽  
Fresh Semen

The use of liquid semen for artificial insemination program of Etawah crossbreed goat (PE) is an alternative to replace frozen semen which is constrained by limited and expensive facilities. Production of liquid semen is faster than frozen semen, but the viability of liquid semen which preserved with a standard extender such as tris egg yolk is very short. The purpose of this study was to determine the viability of PE goat semen in egg yolk tris substituted with energy sources such as glucose, galactose, and mannose and to determine the most efficient energy source for semen preservation. This research was conducted from August to September 2018 at the Artificial Insemination Center in Lembang, West Java. This study was designed in a randomized block design (RBD) consist of three experimental groups divided into five groups. Fresh semen of PE goats were preserved using extender which energy source has been modified. Results showed that using glucose in PE goat semen extender produced the best motility among other groups (64.29 ± 9.2%). The highest viability was found in extender with fructose substitution (86.76 ± 2.3%). The longest viability of liquid semen was found in the extender with glucose substitution. It lasted for six days.

Electrothermal Bipolar Vessel Sealing System vs. Harmonic Scalpel in Colorectal Laparoscopic Surgery

2009 ◽  
Vol 52 (4) ◽  
pp. 657-661 ◽  
Author(s):  
Roberto Rimonda ◽  
Alberto Arezzo ◽  
Corrado Garrone ◽  
Marco Ettore Allaix ◽  
Giuseppe Giraudo ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Harmonic Scalpel ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

scholarly journals Utilizing Sewage Wastewater Heat in District Heating Systems in Serbia - Effects on Sustainability

2021 ◽  
Author(s):  
Marija Živković ◽  
Dejan Ivezic
Keyword(s):  
Energy Source ◽  
Wastewater Treatment ◽  
Carbon Dioxide Emission ◽  
District Heating ◽  
Primary Energy ◽  
Energy Sources ◽  
Heating Systems ◽  
Current State ◽  
District Heating Systems ◽  
Treatment Facilities

Abstract Transformation of the heating sector is recognized as being essential for ensuring reliable and affordable energy services provided with reduced consumption of energy sources, diminished impact on the environment and less import dependency. The possibility of utilizing energy sources that otherwise would be wasted needs to be considered and treated as a big advantage of district heating systems. Despite many advantages, sewage wastewater heat is still a mostly unused resource at the global level and a totally unused energy source in Serbia, while data about the potential of this energy source are lacking. This research proposes a methodology for the determination of the technical potential of waste heat from wastewater treatment facilities for use in district heating systems by heat pump application. Data from existing wastewater treatment facilities are used for providing data for replication in cities without wastewater treatment plants but with district heating systems. An estimation of the recoverable heat energy potential of wastewater is used for evaluation of some effects that could be obtained through its full utilization for heat production in the existing district heating systems. Three groups of indicators are selected for analysis focusing on district heating systems' energy performance (primary energy factor, specific heat consumption per degree day and heating area), the security of energy supply (import dependency, Shannon Wiener diversification index, the share of renewables) and environmental impact (carbon dioxide emission coefficient). Values of the selected indicators are determined for the current state of district heating systems and for the possible future state that could be achieved after full utilization of sewage wastewater potential. The proposed methodology is applied to Serbia, as a case study. It has been shown that all analyzed indicators for the projected future would have more preferable values compared to the values that correspond to the current state of the district heating systems. The use of this renewable energy source should provide primary energy savings of 5% per year, reduction of carbon dioxide emission of 6.5% per year, reduction of import dependency of DH systems of 9.8% and improved diversification of energy sources of 21%.

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