TITLE

Comparison of Wound-Healing Characteristics with Feedback Circuit Electrosurgical Generators in a Porcine Model

AUTHOR(S)
Pollinger, Harrison S.; Mostafa, Gamal; Harold, Kristi L.; Austin, Catherine E.; Kercher, Kent W.; Matthews, Brent D.
PUB. DATE
December 2003
SOURCE
American Surgeon;Dec2003, Vol. 69 Issue 12, p1054
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The type of incisional instrument used to create a surgical wound can influence the rate of wound healing and overall wound strength. The purpose of this study was to evaluate several facets of wound healing within incisions created in the small intestine, uterus, and skin in a porcine model by using feedback circuit electrosurgical generators and a standard steel scalpel blade in a porcine model. Eighteen pigs were evaluated by creating surgical incisions in the skin, uterus, and small intestine utilizing 2 computerized electrosurgical generators (FX, ValleyLab, Boulder, CO, and PEGASYS, Ethicon Endo-Surgery, Inc., Cincinnati, OH) and a scalpel blade. All incisions were reapproximated with absorbable suture. Incision sites were evaluated histologically at 3, 7, or 14 days postincision according to randomization. The skin and small intestine samples were tested for wound tensile strength at 7 and 14 days. There were no statistically significant differences demonstrated with tensile strength testing comparing the electrosurgical devices to the scalpel-blade incisions for skin or small intestine at all time points. The only significant difference detected with respect to wound tensile strength was when different organ types were compared, regardless of device used (i.e., skin, 19.5 N/cm² vs. small intestine, 5.78 N/cm²). Histologic evaluation demonstrated that the wounds created by the electrosurgical generators displayed decreased overall wound healing at 3, 7, and 14 days compared to the scalpel group. These findings indicate that the electrosurgical devices tested delay wound healing at the surgical site, but fail to demonstrate any significant difference in overall wound tensile strength. Wound healing may occur at a more rapid rate when a traditional scalpel blade is used to create the surgical incision, but no difference in global wound dynamics could be detected.
ACCESSION #
11856073

 

Related Articles

  • Resurfacing the neck region: Risks accompany benefits. Murphy, Dan // Dermatology Times;Mar1998, Vol. 19 Issue 3, p45 

    Presents information on the complications and benefits of the treatment of photo-damaged skin in the neck region. Primary benefits of laser resurfacing treatment; Common complications of laser treatment; Risks factors of resurfacing the neck skin.

  • Combination of surgical excision and custom designed silicon pressure splint therapy for keloids on the helical rim. Sand, Michael; Sand, Daniel; Boorboor, Pejman; Mann, Benno; Altmeyer, Peter; Hoffmann, Klaus; Bechara, Falk G. // Head & Face Medicine;2007, Vol. 3, p14 

    Keloids are defined as dermal fibrotic lesions which are considered an aberration of the wound healing process. Their etiology and pathogenesis are poorly understood. Different treatment modalities are described in the literature depending on the morphology and size of the keloid. We report a...

  • The next chapter. Guttman, Cheryl // Dermatology Times;Dec2001, Vol. 22 Issue 12, PRECEDING p1 

    Focuses on the use of silicone gel sheeting following dermatologic surgery presented at the annual meeting of the American Society for Dermatologic Surgery. Involvement of suture placement to minimize the development of hypertrophic scars and keloids; Efficacy of silicone gel during wound...

  • The Optimal Uterine Closure Technique During Cesarean. Bujold, Emmanuel // North American Journal of Medical Sciences;Aug2012, Vol. 4 Issue 8, p362 

    The author discusses the study by N. Magon and K. M. Babu which investigates the use of optimal uterine closure technique in cesarean section. He mentions the suggestion by the authors that continuous modified mattress suture technique aimed at correcting the cut margins' approximation improved...

  • Erbium: YAG laser skin ablation shows promise in wound healing. Gagnon, Louise // Cosmetic Surgery Times;Nov/Dec2005, Vol. 8 Issue 10, p28 

    The article provides some insights into methods for and benefits of Erbium:YAG laser skin ablation in wound healing. The technique is less invasive than suturing and eliminates the epidermis but not the dermis. Laser technology can be used not only to rejuvenate skin to eliminate wrinkles but...

  • Wound Healing: A Paradigm for Regeneration. Wong, Victor W.; Gurtner, Geoffrey C.; Longaker, Michael T. // Mayo Clinic Proceedings;Sep2013, Vol. 88 Issue 9, p1022 

    Human skin is a remarkably plastic organ that sustains insult and injury throughout life. Its ability to expeditiously repair wounds is paramount to survival and is thought to be regulated by wound components such as differentiated cells, stem cells, cytokine networks, extracellular matrix, and...

  • Laparoscopic removal of Uterine cyst in a Rhesus macaque (Macaca mullata). Kumar, Vijay; Rastogi, Sameer; Dhar, Prasenjit // Intas Polivet;Jan-Jun2012, Vol. 13 Issue 1, p168 

    A free range female rhesus macaque was observed with bleeding from the vagina and vulvar swelling. On laparoscopic examination a round structure, measuring 6-7 cm was found attached to the dorsal surface of the uterus. The diagnosed uterine cyst was deflated by aspiration of fluid and was...

  • A Review of Modern Concepts of Healing of Cutaneous Wounds. Hayes, Harry // Journal of Dermatologic Surgery & Oncology;Mar/Apr77, Vol. 3 Issue 2, p188 

    Basic-science aspects of wound healing are discussed in the light of recent developments in wound-healing research. The author discusses wound healing in six, arbitrarily chosen phases, namely, inflammation, epitheIialization, vascularization, contraction, collagen synthesis and late remodeling...

  • Techniques of Facial Lesion Excision and Closure. Spicer, Thomas E. // Journal of Dermatologic Surgery & Oncology;Jul82, Vol. 8 Issue 7, p551 

    Healing of skin always produces a scar. Scars become more noticeable when they differ from surrounding tissue in contour, color, or texture. Careful planning and execution of the surgery will minimize unsightly blemishes.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics