As the use of laparoscopic surgery has become more widespread in recent years, the need has increased for minimally-invasive surgical devices that effectively cut and coagulate tissue with reduced tissue trauma. Although electrosurgery (ES) has been used for many generations, newly-developed ultrasonic devices (HARMONIC® Blade, HB) have been shown at a macroscopic level to offer better coagulat...

The increasing use of implantable electronic devices such as cardiac pacemakers and neurostimulators means that they are being increasingly encountered in endoscopy departments. The electromagnetic fields generated during electrosurgery and with magnetic imaging systems have the potential to interfere with such devices. The authors present a case that highlights some of the steps necessary for ...

Stapling devices can provide an effective method for securing hemostasis. Single, inert, nonreactive titanium clips can be placed on a bleeding vessel with a reusable stainless steel laparoscopic applicator. These clip appliers can also be used in a disposable automatic system. The clips can be applied efficiently and quickly for individual bleeding sites where the application of any other form...

BACKGROUND The use of electrosurgery and lasers by dermatologists and dermatologic surgeons has increased in recent years with the growth of technology and procedures performed. These devices produce surgical smoke that has been demonstrated to harbor live viruses and bacteria in addition to hazardous chemicals. OBJECTIVE We sought to review the literature on surgical smoke, its effects on th...

Laparoscopic vessel sealing devices have revolutionized modern laparoscopy. These devices fall into 2 major categories: advanced bipolar and ultrasonic instruments. The range of tissue effects available with these technologies is more limited than with conventional monopolar electrosurgery; however, both advanced bipolar and ultrasonic devices efficiently seal vessels (≤7-mm and ≤5-mm diameter,...

Xanthelasma is the most common type of xanthoma in periorbital region with clinical diagnosis. About 50% patients have hypercholesterolemia laboratory tests - inferring importance to this condition. We aim report a case 55-year-old female patient presenting yellowish papules on upper eyelids diagnosed as Xanthelasma. She had and II diabetes use rosuvastatin 10mg metformin 1000mg. complaint sign...

Arthroscopic lateral retinacular release in the knee has been used extensively for the treatment of patellar pain and instability. The release can be performed using a number of techniques, but achieving access to the retinaculum can often be difficult, particularly in obese patients. We describe a simple modification of an arthroscopically assisted method, which utilises electrosurgery through...