Principles and safe use of electrosurgery in minimally invasive ... | 合法醫療器材資訊網

2021年3月25日—Advancedelectrosurgicaldeviceshaverevolutionisedlaparoscopicsurgerywithincreasinguptakeofmorecomplexprocedures.

Electrosurgery is the most commonly used form of surgical energy due to its availability, low cost and versatility. In spite of its wide use, there is evidence that surgeons of different grades and specialties have gaps in their knowledge of electrosurgery and this can compromise patient safety (1,2). The goal of this review is to bridge such gaps by addressing the principles, hazards and safe use of electrosurgery.

Thermal cautery was the main energy tool used by early surgeons for thousands of years. Although it was known in various ancient cultures, its earliest documented use was found in the Edwin Smith papyrus, dated to around 3000 BC. It is the oldest medical text that presents a rational and scientific approach to medicine in ancient Egypt. The history of electrosurgery was closely linked to the history of electricity (3). In the early 19th cen...