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Bladder and Bowel Injury after Electrodesiccation with Kleppinger Bipolar Forceps. A Clinicopathologic Study

Citation

Ryder, Rebecca M. & Hulka, Jaroslav F. (1993). Bladder and Bowel Injury after Electrodesiccation with Kleppinger Bipolar Forceps. A Clinicopathologic Study. Journal of Reproductive Medicine, 38, 595-8.

Abstract

To evaluate the extent of electrocoagulation damage in tissue undergoing bipolar desiccation, five mature female pigs were used as models of tissue and adjacent vital structures commonly encountered during operative laparoscopy. Electrocoagulation was performed on bowel mesentery, sidewall peritoneum, ureters, uterus, uterotubal junction and broad ligament; superficial bowel and bladder burns were treated. Kleppinger forceps were also used to coagulate various-sized arteries to determine hemostasis. Histopathologic analysis demonstrated no inflammation or tissue destruction beyond the desiccated area seen immediately after coagulation and no direct correlation between tissue thickness and spread of electrocoagulation. It also appears that blood vessel hemostasis can be achieved safely with Kleppinger forceps on vessels up to 3 mm in diameter.

Reference Type

Journal Article

Journal Title

Journal of Reproductive Medicine

Author(s)

Ryder, Rebecca M.
Hulka, Jaroslav F.

Year Published

1993

Volume Number

38

Pages

595-8

Reference ID

398