Argon beam coagulator in laparoscopic gynecologic surgery

Vi, Kulakov; Lv, Adamian; Kiselev, SI; Yarotskaya, Ekaterina; Голубев, Георгий Шотавич

doi:10.1016/s1074-3804(96)80210-6

Cited by 4 publications

(2 citation statements)

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“…Moreover, the blood is ‘blown away’ from the target site, no smoke is formed during coagulation, the eschar is formed homogeneously and there is little tissue damage with excellent haemostasis 1,2 . The Argon beam coagulator has been used in many types of operation, including hepatic, splenic, maxillofacial and gynaecological surgery, during laparoscopy and laparotomy, and also in anticoagulated patients 3–6 .…”

Section: Discussionmentioning

confidence: 99%

Argon beam coagulation during caesarean section

Lurie

Gur

Glezerman

2002

BJOG

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Objective Pregnancy at high altitude has been associated with increased prevalence of pre‐eclampsia and reduced maternal oestrogen levels, factors that have been associated with endothelial dysfunction. The aim of this study was to examine the effect of high altitude (4370 m above sea level) on endothelial function during pregnancy as assessed by a non‐invasive method. Design Cross‐sectional study. Setting Two maternity units providing routine antenatal care: one at high altitude (District General Hospital ‐ IPSS in Cerro de Pasco, Peru) and one at sea level (Instituto Materno‐Perinatal in Lima, Peru). Population Sixty pregnant women at 6–42 weeks of gestation resident at high altitude (Cerro de Pasco, Peru, 4370 m above sea level) and 54 at sea level (Lima, Peru). Comparisons were performed also in 11 and 14 non‐pregnant women at each altitude, respectively. Methods Endothelial function was assessed by flow‐mediated dilatation of the brachial artery using high‐resolution ultrasound. Main outcome measures Differences in flow mediated dilatation of the brachial artery in two groups of pregnant women, one at high altitude and one at sea level. Results Both at high altitude and sea level flow‐mediated dilatation of the brachial artery increased in the first two trimesters to levels 32% higher than non‐pregnant controls. However, in the third trimester, flow‐mediated dilatation of the brachial artery was lower than non‐pregnant levels. Resting vessel size increased during pregnancy by 15% compared with non‐pregnant controls at term, with no difference between the two populations at high and low altitude. Pregnancy at high altitude, compared with sea level, was associated with 59% lower baseline blood flow and 76% higher reactive hyperaemia. Similarly, non‐pregnant controls at high altitude compared with sea level demonstrated similar flow‐mediated dilatation of the brachial artery and 40% lower resting blood flow of the brachial artery. However, the difference in reactive hyperaemia did not reach statistical significance. Conclusion These data suggest that, during pregnancy at high altitude, endothelial function, as assessed by flow‐mediated dilatation of the brachial artery, is not impaired.

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Section: Discussionmentioning

confidence: 99%

Argon beam coagulation during caesarean section

Lurie

Gur

Glezerman

2002

BJOG

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“…Given the effective superficial field coagulation, the favorable use of the ABC has also been described in the fields of urology, abdominal surgery, gynecology, obstetrics, and neurosurgery. [5][6][7][8][9] The main adverse effect of the ABC system reported in the literature is venous gas embolism due to overpressurization during laparoscopic coagulation of the liver. At least four cases have been reported; one of these was fatal.…”

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confidence: 99%