ArticleMedical devices (Auckland, N.Z.)2015
Consistency and sealing of advanced bipolar tissue sealers.
Article in Medical devices (Auckland, N.Z.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- An umbrella review of the surgical performance of Harmonic ultrasonic devices and impact on patient outcomes.BMC surgery · 2023Pooled it
- Electrosurgical Devices Used During Laparoscopic Hysterectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Laparoscopic sealing devices on animal models: searching the least harmful for the surrounding tissue.Medicine and pharmacy reports · 2025Article
- Evaluation of thermal effects of surgical energy devices: ex vivo study.Scientific reports · 2024Article
- Defining digital surgery: a SAGES white paper.Surgical endoscopy · 2024Article
- Comparison of Two Radiofrequency Vessel-Sealing Device for Laparoscopic Ovariectomy in African Lionesses (Panthera Leo).Animals : an open access journal from MDPI · 2022Article
- Ex-Vivo Evaluation of "First Tip Closing" Radiofrequency Vessel Sealing Devices for Swine Small Intestinal Transection.Veterinary sciences · 2022Article
- Swine Small Intestine Sealing Performed by Different Vessel Sealing Devices: Ex-Vivo Test.Veterinary sciences · 2021Article
- Effect of multiple use and sterilization on sealing performance of bipolar vessel sealing devices.PloS one · 2019Article
- Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients.World journal of surgical oncology · 2018Article
- Transvesicoscopic Bipolar Sealing of Vesicovaginal Fistula.Journal of endourology case reports · 2018Article
- Electrosurgery and clinical applications of electrosurgical devices in gynecologic procedures.Medical journal of the Islamic Republic of Iran · 2018Review
- Early Experience with LigaSure Thyroidectomy in a Nigeria Teaching Hospital.Nigerian journal of surgery : official publication of the Nigerian Surgical Research SocietyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to evaluate two commonly used advanced bipolar devices (ENSEAL(®) G2 Tissue Sealers and LigaSure™ Blunt Tip) for compression uniformity, vessel sealing strength, and consistency in bench-top analyses.
methodsCompression analysis was performed with a foam pad/sensor apparatus inserted between closed jaws of the instruments. Average pressures (psi) were recorded across the entire inside surface of the jaws, and over the distal one-third of jaws. To test vessel sealing strength, ex vivo pig carotid arteries were sealed and transected and left and right (sealed) halves of vessels were subjected to burst pressure testing. The maximum bursting pressures of each half of vessels were averaged to obtain single data points for analysis. The absence or presence of tissue sticking to device jaws was noted for each transected vessel.
resultsStatistically higher average compression values were found for ENSEAL(®) instruments (curved jaw and straight jaw) compared to LigaSure™, P<0.05. Moreover, the ENSEAL(®) devices retained full compression at the distal end of jaws. Significantly higher and more consistent median burst pressures were noted for ENSEAL(®) devices relative to LigaSure™ through 52 firings of each device (P<0.05). LigaSure™ showed a significant reduction in median burst pressure for the final three firings (cycles 50-52) versus the first three firings (cycles 1-3), P=0.027. Tissue sticking was noted for 1.39% and 13.3% of vessels transected with ENSEAL(®) and LigaSure™, respectively.
conclusionIn bench-top testing, ENSEAL(®) G2 sealers produced more uniform compression, stronger and more consistent vessel sealing, and reduced tissue sticking relative to LigaSure™.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.