Bipolar Pulse Coagulation for Resection of the Cirrhotic Liver

Corvera, Carlos U.; Dada, Stephen; Kirkland, Jacob G.; Garrett, Ryan D.; Way, Lawrence W.; Stewart, Lygia

doi:10.1016/j.jss.2006.05.012

Cited by 12 publications

(9 citation statements)

References 13 publications

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“…Corvera et al [98] have also reported the use of the Gyrus device in cirrhotic livers comparing it to the clamp and crush technique. They evaluated five patients in each group showing similar results between the two groups in terms of operating time, blood loss and major post-operative complications.…”

Section: Figure 5 Habib Technique For Liver Resectionmentioning

confidence: 99%

“…For deeper tumours the device was applied at an angle of 45 degrees to the surface. This technique allow to achieve a very low rate of blood transfusion in a very large series [88] Gyrus plasmakinetic pulsed bipolar coagulation device: Gyrus /Gyrus medical inc., Maple Groves, Mn, USA) is a bipolar cautery device which seals the hepatic parenchima using a combination of pressure and energy that results in the fusion of collagen and elastin in the walls of the hepatic vasculature and bile ducts [98]. The device can reliably seals vessels up to 7 mm in diameter minimizing the amount of blood loss during the transection of the liver.…”

mentioning

confidence: 99%

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The Aim of Technology During Liver Resection — A Strategy to Minimize Blood Loss During Liver Surgery

Romano¹,

Garancini²,

Uggeri³

et al. 2013

Hepatic Surgery

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Section: Figure 5 Habib Technique For Liver Resectionmentioning

confidence: 99%

mentioning

confidence: 99%

The Aim of Technology During Liver Resection — A Strategy to Minimize Blood Loss During Liver Surgery

Romano¹,

Garancini²,

Uggeri³

et al. 2013

Hepatic Surgery

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“…Gyrus (Gyrus Medical Inc., Maple Groves, MN, USA) is a bipolar cautery device which seals the hepatic parenchyma using a combination of pressure and energy that results in the fusion of collagen and elastin in the walls of the hepatic vasculature and bile ducts [98]. The device can reliably seal vessels up to 7 mm in diameter minimizing the amount of blood loss during the transection of the liver.…”

Section: How Can We Reduce Bleeding In Liver Surgery?mentioning

confidence: 99%

“…Moreover, it seems to be useful even in case of cirrhotic patients. Corvera et al [98] have also reported the use of the Gyrus device in cirrhotic livers comparing it to the clamp and crush technique. They evaluated five patients in each group showing similar results between the two groups in terms of operating time, blood loss, and major postoperative complications.…”

Section: How Can We Reduce Bleeding In Liver Surgery?mentioning

confidence: 99%

Bleeding in Hepatic Surgery: Sorting through Methods to Prevent It

et al. 2012

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Liver resections are demanding operations which can have life threatening complications although they are performed by experienced liver surgeons. The parameter “Blood Loss” has a central role in liver surgery, and different strategies to minimize it are a key to improve results. Moreover, recently, new technologies are applied in the field of liver surgery, having one goal: safer and easier liver operations. The aim of this paper is to review the different principal solutions to the problem of blood loss in hepatic surgery, focusing on technical aspects of new devices.

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“…However, intraoperative blood loss during liver resection remains a major concern due to association with higher postoperative complications 6 . This is especially problematic in cirrhotic, post chemotherapy and fatty liver 7–9 . Multiple techniques and devices have been used to reduce intraoperative blood loss, such as the Pringle manoeuvre, total vascular exclusion, ultrasonic aspirator and water‐jet cutter 10–13 .…”

Section: Introductionmentioning

confidence: 99%