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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Endourol 2018 ; 32 (4): 329-37 Nephropedia Template TP
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Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices #MMPMID29463122
J Endourol 2018[Apr]; 32 (4): 329-37 PMID29463122show ga
Introduction: We evaluated and compared five currently available energy-based vessel sealing devices to assess typical surgical metrics.Methods: We tested Caiman 5 (C5), Harmonic Scalpel Ace Plus (HA), Harmonic Ace +7 (HA7), LigaSure (LS), and Enseal G2 (ES) on small (2?5?mm), medium (5.1?7?mm), and large (7.1?9?mm) vessels obtained from 15 Yorkshire pigs. Vessels were randomly sealed and transected. We recorded sealing and transection time, charring and carbonization, thermal spread, and bursting pressure (BP). Specimens were sent for histopathologic evaluation of seal quality and thermal spread.Results: A total of 246 vessels were evaluated: 125 were arteries and 121 were veins. There was no difference in BPs for small size arteries. For medium arteries, C5 provided the highest BP (proximal and distal jaw), followed by HA7, ES, LS, and HA [1740, 1600, 1165, 1165, 981, and 571?mm Hg, respectively, HA250?mm Hg.