Comparison of laparoscopic vessel sealing devices in a porcine model: turkurolap group study

To compare the effectiveness of different electrosurgical devices used during laparoscopic surgery in Turkey. Retrospective study. Gulhane Military Medical Academy, Experimental laboratory, Turkey. Six large White-Landrace-Pietrain pigs, with a mean weight of 63 +/- 3.61 kg, were used in 2011. Laparoscopic Vessel Sealing Devices. Sealing time, demarcation, destruction, sticking, and burning effects of laparoscopic electrosurgical devices were investigated in blood vessels and ureters. Sealing process was significantly shorter with Liga Sure Atlas [LS-lO mm and LS-5 mm], Plasma Trissector Gyrus [PTG] and Harmonic Scalpel [HS] in gonadal vessels. The shortest superficial demarcation was provided with HS. The sticking effects of the LS-5 mm and PTG were lower in ureters. The superficial demarcation was shorter with PTG than LS-5 mm, LS-10 mm and HS in ureters. HS stands out a bit more among devices with electrosurgical effects and fewer side effects to surrounding tissues than other devices in our study. Electrosurgical device should be selected according to necessity of the kind of dissection

Evaluation of penile hemodynamic status and adjustment of treatment alternatives in Peyronie's disease / 亚洲男科学杂志(英文版)

<p><b>AIM</b>Erectile dysfunction may be observed in up to 80% of patients with Peyronie's disease. An objective evaluation of the erectile function is attempted to work out in patients with Peyronie's disease.</p><p><b>METHODS</b>Penile deformity, sexual function and penile vascular status were analyzed in 123 patients with Peyronie's disease, who had not received any pertinent treatment.</p><p><b>RESULTS</b>Penile deformity, palpable plaque and pain on erection were seen in 112 (91%), 97 (78.8%) and 27 (21.9%) of the 123 patients, respectively. Of the 76 patients evaluated by color Doppler ultrasounography, veno-occlusive dysfunction as the vascular component for erectile dysfunction was found in 17 (22.3%), arterial insufficiency in 10 (13.1%) and a mixed picture in 23 (30.2%).</p><p><b>CONCLUSION</b>The documentation of penile erectile function and the determination of the vascular status using color Doppler ultrasonography can guide the appropriate therapeutic choice.</p>