Evidence map›Paper›PMID 27806716›Full record

ArticleBiomedical engineering online2016

In silico evaluation of geometry variations with respect to the thermal spread during coagulation of egg white using bipolar vessel sealing instruments.

Jay Wagenpfeil, Christina Schöllig, Volker Mayer, Ronny Feuer, Bernhard Nold, Alexander Neugebauer, Michael Ederer, Ralf Rothmund, Bernhard Krämer, Sara Brucker and 3 more

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Jay WagenpfeilInstitute for System Dynamics, University of Stuttgart, Waldburgstr. 19, 70563, Stuttgart, Germany. jay.wagenpfeil@isys.uni-stuttgart.de.ORCID http://orcid.org/0000-0002-0218-6596
Christina SchölligInstitute for System Dynamics, University of Stuttgart, Waldburgstr. 19, 70563, Stuttgart, Germany.
Volker MayerErbe Elektromedizin GmbH, Waldhörnlestr. 17, 72072, Tübingen, Germany.
Ronny FeuerInstitute for System Dynamics, University of Stuttgart, Waldburgstr. 19, 70563, Stuttgart, Germany.
Bernhard NoldErbe Elektromedizin GmbH, Waldhörnlestr. 17, 72072, Tübingen, Germany.
Alexander NeugebauerErbe Elektromedizin GmbH, Waldhörnlestr. 17, 72072, Tübingen, Germany.
Michael EdererErbe Elektromedizin GmbH, Waldhörnlestr. 17, 72072, Tübingen, Germany.
Ralf RothmundUniversity Women's Hospital, Calwerstr. 7, 72076, Tübingen, Germany.
Bernhard KrämerUniversity Women's Hospital, Calwerstr. 7, 72076, Tübingen, Germany.
Sara BruckerUniversity Women's Hospital, Calwerstr. 7, 72076, Tübingen, Germany.
Markus EnderleErbe Elektromedizin GmbH, Waldhörnlestr. 17, 72072, Tübingen, Germany.
Oliver SawodnyInstitute for System Dynamics, University of Stuttgart, Waldburgstr. 19, 70563, Stuttgart, Germany.
Julia RexInstitute for System Dynamics, University of Stuttgart, Waldburgstr. 19, 70563, Stuttgart, Germany.
Erbe Elektromedizin (Germany) · DEUniversity of Stuttgart · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBipolar vessel sealing is an efficient electrosurgical procedure for the occlusion of blood vessels particularly during minimally invasive surgery. Reliable knowledge of the thermal spread is crucial for a safe application of bipolar vessel sealing instruments when operating close to thermo-sensitive structures, such as nerves. The evolution of the thermal spread over time and space depends on a variety of parameters, such as the biological tissue, the energy applied to the tissue, and the geometry of the vessel sealing instrument. Mathematical modeling has proven useful for the prediction of the thermal spread. It is, thus, a promising tool for the systematic analysis of the influence of geometrical changes on the thermal spread.

resultsWe present an experimentally validated in silico study to evaluate the impact of geometry variations on the progression of chicken egg white coagulation and the final shape of coagulated egg white as an approximation of the temporal and spatial evolution of the thermal spread during bipolar vessel sealing. Egg white has similar thermal and electrical properties to human tissue, with the advantage being that the spatial and temporal evolution of the thermal spread can be visually gauged. The simulations were performed using a mathematical model based on the finite element analysis of chicken egg white. The progression of egg white coagulation was predicted for two different peak voltages and various electrode geometries. Starting with two planar electrodes, one electrode was gradually changed to adopt a wedge shape. These changes to the geometry showed a distinct influence on the progression of egg white coagulation in the simulations. The predictions were successfully validated using an experimental setup with two different electrodes representing the extreme geometries. DISCUSSION: The predicted spatial temperature distributions were experimentally validated for two geometries. Our simulation study shows that the geometry has a pronounced influence on the thermal spread and, thus, is a suitable parameter to reduce thermal damage. The in silico optimization of instrument designs is a suitable tool to accelerate the development of new vessel sealing instruments, with only a few promising designs having to be tested as prototypes.

Indexed as

Computer SimulationTemperatureAnimalsBiomimeticsChickensEgg WhiteRadio WavesVascular Surgical ProceduresBipolar vessel sealingEgg white modelFinite element analysisMathematical modelingThermal spread

Identifiers

PMID27806716
PMCPMC5093945
OpenAlexW2548507180

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.