Comparison of the effects of different electrocautery applications to peripheral nerves: an experimental study

Dağtekin, Ahmet; Çömelekoğlu, Ülkü; Bagdatoglu, Ozlen; Yılmaz, Nejat; Dağtekin, Oykut; Koseoglu, Aslihan; Vayısoğlu, Yusuf; Karataş, Derya; Korkutan, Selma; Avcı, Emel; Bağdatoğlu, Celal; Talaş, Derya Ümit

doi:10.1007/s00701-011-1060-z

Cited by 9 publications

(5 citation statements)

References 22 publications

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“…Since there is no retrograde injury in cautery in bipolar, the damage is less. The same mechanism is also valid for thermocoutery [25]. We think this is the reason why we suffer more damage in monopolar cautery and less damage in others.…”

Section: Discussionmentioning

confidence: 58%

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

et al. 2021

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Background Circumcision is a surgical removal process of the preputium. Surgical excision and electric current cause neurodegeneration in the excised tissue-related neural network. This study investigates if circumcision and current surgical methods would cause histopathological changes in the penile tissue innervating pudendal nerve dorsal root ganglia. Results Vascular congestion occluded the microvessels, and degenerative changes were detected in postexcised penile tissue. Neuronal angulation, cytoplasmic condensation, nuclear shrinkage, and condensed nuclei were observed in the pudendal nerve ganglia. Moreover, the degenerated neuron (DN) densities of the pudendal nerve ganglia were 5 ± 2, 98 ± 22, 1093 ± 185, 236 ± 43 and 151 ± 19 in the control, the surgical circumcision, the monopolar cautery, the bipolar cautery and the thermocautery groups, respectively. Conclusions Although only the pudendal nerve endings are affected secondary to prepusium excision another pudendal axons can be damaged during bleeding control with cautery, the destruction of the neuron that sends this axon initiates a general inflammation in that ganglion. As a result, there may be a somatosensitive innervation defect in extrapenile tissues innervated by this ganglion. High-voltage electric devices should not be used unless obligatory.

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Section: Discussionmentioning

confidence: 58%

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

et al. 2021

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“…The relation between diathermy coagulation and nerve injuries is reasonably intuitive. Nevertheless, the amount of electric power able to cause a neural lesion is not precisely known, even if bipolar electrocautery is reported to be more harmful for neural plexus than harmonic scalpel [43][44][45]. Bleeding hence is a consequence of unclear surgical planes but at the same time it can be the reason why sharp surgical planes become unrecognizable.…”

Section: Discussionmentioning

confidence: 97%

A prospective video-controlled study of genito-urinary disorders in 35 consecutive laparoscopic TMEs for rectal cancer

et al. 2014

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“…Electromyography shows fibrillations and reduced motor unit action potentials [ 9 ]. The use of electrocautery in surgery to reduce the bleeding risk can lead to damage to peripheral nerves, which could be the potential cause of neuropraxia in my case [ 10 ].…”

Section: Case Presentationmentioning

confidence: 99%

An Autobiographical Case Report on Papillary Thyroid Carcinoma with Positive Antithyroid Antibodies: Coincidence or Correlated?

Singh,

Rao,

Rana

et al. 2023

Cureus

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The relationship between autoimmunity and cancer has been a gray area, with many theories but no solid proof so far. Hashimoto's thyroiditis is an autoimmune disorder and a major cause of hypothyroidism, while papillary thyroid carcinoma is the most common thyroid malignancy generally found in patients younger than 45 years of age. The literature on the correlation between these two disorders is somewhat based on potentially biased histopathological examination from pre-operative fine needle aspiration and post-thyroidectomy samples. Although recent studies are evaluating a possible holistic molecular, hormonal, and histopathological foundation for this correlation, a clear causal relationship has not been established yet. This report illustrates the author's case presentation, treatment, and eventual outcome of the disease when she was diagnosed with papillary thyroid cancer at the age of 25 years, with positive antithyroid peroxidase and antithyroglobulin antibodies.

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Comparison of the effects of different electrocautery applications to peripheral nerves: an experimental study

Cited by 9 publications

References 22 publications

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

A prospective video-controlled study of genito-urinary disorders in 35 consecutive laparoscopic TMEs for rectal cancer

An Autobiographical Case Report on Papillary Thyroid Carcinoma with Positive Antithyroid Antibodies: Coincidence or Correlated?

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