Effect of electrosurgical energy on suture material. An experimental study

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详细

BACKGROUND: The instructions for use of the suture material or coagulation tool do not describe the changes that may occur when they interact. A review of the literature found a small number of publications on changes in the physical properties of the suture material when exposed to chemical and mechanical factors. However, this is not enough to predict the effects of energy on the suture material and, as a result, on wound healing or the quality of the postoperative scar.

AIM: To determine and measure the effect of the energy used for coagulation on the strength of the suture material.

MATERIALS AND METHODS: In the experimental research, data on changes in the strength of 20 different filaments after exposure to the energy used for coagulation were analyzed in comparison with control samples.

RESULTS: Research resulted in obtaining both expected or predicted indicators of changes in the strength of threads, and vice versa, absolutely unexpected results, which only confirms the significance of the research. Most of the filaments have lost their original strength after exposure to energy. However, some threads have become, on the contrary, stronger, despite the apparent destructive effect.

CONCLUSIONS: The coagulation energy used in the ligature field changes the physical properties of the filaments. Therefore, in some cases it is worth abandoning the use of a certain type of energy and using another well-known method of hemostasis.

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作者简介

Vitaly Bezhenar

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929
SPIN 代码: 8626-7555
Scopus 作者 ID: 57191963583
Researcher ID: R-7055-2017

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Saint Petersburg

Natalya Kuzmina

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: kuzmina@mail.ru
ORCID iD: 0000-0001-5759-4530
SPIN 代码: 9944-6108

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Pyotr Palastin

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: palastin.petr@mail.ru
ORCID iD: 0000-0003-3502-2499
SPIN 代码: 8008-8723

MD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Oleg Ivanov

Academician I.P. Pavlov First St. Petersburg State Medical University

编辑信件的主要联系方式.
Email: ivanoffmd@gmail.com
ORCID iD: 0000-0002-6596-4105
SPIN 代码: 8620-9749
俄罗斯联邦, St. Petersburg

参考

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  2. Bezhenar VF, Tsypurdeeva AA, Dolinskiy AK, et al. The experience of a standarbized technique of laparoscopic myomectomy. Journal of Obstetrics and Women’s Diseases. 2012;61(4):23−32. (In Russ.). doi: 10.17816/JOWD61423-32
  3. Aryutin DG, Vaganov EF, Belousova AA, et al. Endoscopic lateral fixation using a T-shaped mesh implant is an effective way to correct apical prolapse of the genitals. Obstetrics and gynecology. 2018;(2):120−125. (In Russ.). doi: 10.18565/aig.2018.2.120-125
  4. Vanin A. Quaterly overview of the medical device market: current state and prospects of development of the russian suture filament market. Remedium. 2019;(6):51−56. (In Russ.). doi: 10.21518/1561-5936-2019-6-51-56
  5. Alsarhan M, Alnofaie H, Ateeq R, Almahdy A. The effect of chlorhexidine and listerine® mouthwashes on the tensile strength of selected absorbable sutures: An In Vitro study. Biomed Res Int. 2018;2018:8531706. doi: 10.1155/2018/8531706
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  9. Plekhanov AN, Bezhenar VF, Epifanova TA, Bezhenar FV. Comparative characteristics of hemostasis during vaginal hysterectomy. Kuban Scientific Medical Bulletin. 2019;26(6):61−69. (In Russ.). doi: 10.25207/1608-6228-2019-26-6-61-69
  10. Parker WH, Einarsson J, Istre O, Dubuisson JB. Risk factors for uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol. 2010;17(5):551−554. doi: 10.1016/j.jmig.2010.04.015
  11. Ostromensky VV, Borisov AV, Glukhov EYu, et al. The state of the uterine scar after argonoplasmic coagulation (experimental study). Tauride medico-biological bulletin. 2017;20(2,2):80−87. (In Russ.)
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1. JATS XML
2. Fig. 1. Electrosurgical device BOWA ARC 400

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3. Fig. 2. Generator power settings

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4. Fig. 3. The conductor

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5. Fig. 4. Monopolar coagulation

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6. Fig. 5. Bipolar coagulation

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7. Fig. 6. Argonoplasma coagulation

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8. Fig. 7. MI-20UM tension dynamometer

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9. Fig. 8. Ethibond 2-0 after exposure to bipolar coagulation. The arrow indicates the impact area. Zoom ×5

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10. Fig. 9. Vicryl 0 after exposure to argon plasma coagulation

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