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May 2013 JMIG Cover

JOURNAL SPOTLIGHT: Histologic Changes Associated With Electrosurgical Injury

Authors: Richard M. Soderstrom
Citation: The Journal of Minimally Invasive Gynecology, Volume 20, Issue 3, Page 299-300
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Abstract: The importance of the histologic appearance noted with suspected electrosurgical injuries during laparoscopic surgery was first evaluated by Levy et al after their study of bowel injuries inflicted on white New Zealand white rabbits using a randomized, blinded evaluation. This study compared the gross and histologic findings after both traumatic and electrosurgical bowel injury (monopolar and bipolar) in these study animals. The animals were blindly selected for reoperation in a random fashion after 24, 48, 72, and 96 hours. The surgeons were “blinded” as to the cause of each injury found and removed for histologic examination. The findings, after the “blind code” assigned to each animal was opened, showed a distinct histologic difference between sharp and electrosurgical trauma. 

Filed under "Journal Spotlight".

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