Cargando…
Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial
Background and Objectives: A topic of greatinterest in the surgical field comprises cost and time reduction operative techniques with high efficiency rates. Thus, the aim of this paper is to evaluate whether a transection of the appendix using only a laparoscopic LigaSure™ device is feasible and, if...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10222330/ https://www.ncbi.nlm.nih.gov/pubmed/37241159 http://dx.doi.org/10.3390/medicina59050927 |
_version_ | 1785049672204681216 |
---|---|
author | Turial, Salmai Schwind, Martin Nyiredi, Alexandra |
author_facet | Turial, Salmai Schwind, Martin Nyiredi, Alexandra |
author_sort | Turial, Salmai |
collection | PubMed |
description | Background and Objectives: A topic of greatinterest in the surgical field comprises cost and time reduction operative techniques with high efficiency rates. Thus, the aim of this paper is to evaluate whether a transection of the appendix using only a laparoscopic LigaSure™ device is feasible and, if so, which size of the laparoscopic device is optimal. Materials and Methods: Appendectomy specimens were sealed and cut using LigaSure(TM) V (5 mm) and LigaSure Atlas(TM) (10 mm) devices ex vivo. Analysis criteria included handling, resistance to bursting pressure of the appendicular stump (adequacy), eligibility, durability and airtightness. Results: Twenty sealed areas were measured. While the 5 mm instrument was not able to transect the appendix in one attempt in any of the cases, the 10 mm device could be applied successfully without any handling difficulties. The adequacy of the sealed area was rated as complete and dry in all 10 cases using the 10 mm device and as oozing in 8 of the cases using the 5 mm device. There was no leakage in terms of air and liquid tightness using the 10 mm device, in contrast to six sealed segments with air and liquid leakage when using the 5 mm device. The resistance to bursting pressure was on average 285 mmHg and 60.5 mmHg with the 10 mm and 5 mm devices, respectively. The durability and eligibility of the 10 mm device were rated as very sufficient in 9 of 10 cases (1 perforation) in contrast to the 5 mm device, where the sealing in 9 of 10 cases was not sufficient (9 perforations). Conclusions: Using the 10 mm laparoscopic LigaSure™ device for the transection of the appendix seems to be feasible, safe and resistant to 300 mmHg bursting pressure. The 5 mm LigaSure™ instrument is inadequate to seal the appendix in humans. |
format | Online Article Text |
id | pubmed-10222330 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102223302023-05-28 Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial Turial, Salmai Schwind, Martin Nyiredi, Alexandra Medicina (Kaunas) Article Background and Objectives: A topic of greatinterest in the surgical field comprises cost and time reduction operative techniques with high efficiency rates. Thus, the aim of this paper is to evaluate whether a transection of the appendix using only a laparoscopic LigaSure™ device is feasible and, if so, which size of the laparoscopic device is optimal. Materials and Methods: Appendectomy specimens were sealed and cut using LigaSure(TM) V (5 mm) and LigaSure Atlas(TM) (10 mm) devices ex vivo. Analysis criteria included handling, resistance to bursting pressure of the appendicular stump (adequacy), eligibility, durability and airtightness. Results: Twenty sealed areas were measured. While the 5 mm instrument was not able to transect the appendix in one attempt in any of the cases, the 10 mm device could be applied successfully without any handling difficulties. The adequacy of the sealed area was rated as complete and dry in all 10 cases using the 10 mm device and as oozing in 8 of the cases using the 5 mm device. There was no leakage in terms of air and liquid tightness using the 10 mm device, in contrast to six sealed segments with air and liquid leakage when using the 5 mm device. The resistance to bursting pressure was on average 285 mmHg and 60.5 mmHg with the 10 mm and 5 mm devices, respectively. The durability and eligibility of the 10 mm device were rated as very sufficient in 9 of 10 cases (1 perforation) in contrast to the 5 mm device, where the sealing in 9 of 10 cases was not sufficient (9 perforations). Conclusions: Using the 10 mm laparoscopic LigaSure™ device for the transection of the appendix seems to be feasible, safe and resistant to 300 mmHg bursting pressure. The 5 mm LigaSure™ instrument is inadequate to seal the appendix in humans. MDPI 2023-05-11 /pmc/articles/PMC10222330/ /pubmed/37241159 http://dx.doi.org/10.3390/medicina59050927 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Turial, Salmai Schwind, Martin Nyiredi, Alexandra Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title | Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title_full | Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title_fullStr | Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title_full_unstemmed | Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title_short | Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial |
title_sort | evaluation of the appropriate ligasure™ device to transect the appendix—a comparison between 5 mm and 10 mm laparoscopic devices in an ex vivo trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10222330/ https://www.ncbi.nlm.nih.gov/pubmed/37241159 http://dx.doi.org/10.3390/medicina59050927 |
work_keys_str_mv | AT turialsalmai evaluationoftheappropriateligasuredevicetotransecttheappendixacomparisonbetween5mmand10mmlaparoscopicdevicesinanexvivotrial AT schwindmartin evaluationoftheappropriateligasuredevicetotransecttheappendixacomparisonbetween5mmand10mmlaparoscopicdevicesinanexvivotrial AT nyiredialexandra evaluationoftheappropriateligasuredevicetotransecttheappendixacomparisonbetween5mmand10mmlaparoscopicdevicesinanexvivotrial |