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

ABSTRACT

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