[Electrosurgical units in surgery]

Mengarelli C, Ciapponi A, Colaci C, Alfie V, García Martí S, Bardach A, Alcaraz A, Augustovski F, Pichon-Riviere A
Record ID 32018004425
Original Title: Dispositivos electroquirúrgicos en cirugía
Authors' recommendations: Moderate-quality evidence suggests that electrothermal power or other (monopolar and/or bipolar) frequencies used to dissect or coagulate tissue or vessels in patients requiring any surgery are likely to result in a higher net benefit when compared with conventional therapies (electrocautery, tweezers system) since it shortens surgical times and improves perioperative clinical outcomes such as less bleeding, shorter hospital stay and less postoperative pain. This benefit takes place with some surgical procedures. Ultrasound power (ultrasonic shears) showed these benefits in laparoscopic cholecystectomy, thyroid surgery and anorectal (hemorrhoid) surgery when compared with cautery. The electrothermal bipolar vessel sealing system (LigaSure®) was better than conventional techniques in tonsillectomy, thyroid and parathyroid surgery. No clinical practice guidelines or coverage policies recommending the electronic devices to be used have been found. The decision as to which device to recommend will depend on its accessibility and type of surgery.
Project Status: Completed
Year Published: 2022
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Electrosurgery
  • Minimally Invasive Surgical Procedures
  • Surgical Procedures, Operative
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
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