Evidence map›Paper›PMID 28144764›Full record

ArticleTechniques in coloproctology2017

Prospective analysis of the sealing ability of the ENSEAL

B Balachandran, G Melich, T Mustafa, S J Marecik, L M Prasad, M Gonzalez, S Sulo, F Dabbous, J J Park

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 98% 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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Review
  3. Articulating Tissue Sealing Device for Advanced Laparoscopic Pelvic Surgery.Journal of obstetrics and gynaecology of India · 2025
    Review
  4. Article
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

9 authors at 2 institutions in 2 countries.

B BalachandranDivision of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL, 60068, USA.
G MelichDepartment of Surgery, Royal Columbian Hospital, University of British Columbia, New Westminster, BC, Canada.
T MustafaDivision of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL, 60068, USA.
S J MarecikDivision of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL, 60068, USA.
L M PrasadDivision of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL, 60068, USA.
M GonzalezDivision of Pathology, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
S SuloJames R. & Helen D. Russell Institute for Research & Innovation, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
F DabbousJames R. & Helen D. Russell Institute for Research & Innovation, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
J J ParkDivision of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1775 Dempster Street, Park Ridge, IL, 60068, USA. jpark18@aol.com.
Advocate Lutheran General Hospital · USRoyal Columbian Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe sealing and transection of mesenteric vessels is a crucial step in minimally invasive colorectal surgery. We examined the sealing quality of the ENSEAL

methodsThis was a prospective experimental study within a tertiary healthcare center, and 30 patients were recruited. Burst pressures for each specimen were measured as the primary outcome. Ten specimens at each of the three articulations were also histologically assessed for the quality of seal.

resultsWe evaluated 54 sets of specimens from 30 patients for bursting pressure, all of which were harvested and sealed in the operating room. No statistical difference was seen in burst pressures from seals recorded at no angulation, half-maximal angulation, or maximal angulation (1604, 1507, 1478 mmHg; p = 0.07). Histological analysis showed no statistical differences in the average vessel diameter (p = 0.57), lateral extent of thermal injury (p = 0.48), degree of vascular sclerosis, or the integrity of seal at the three articulations. No cases of intraoperative or postoperative bleeding were observed in any of the patients. Five (16.7%) of the ENSEAL

conclusionsThe maximum sustainable pressure in mesenteric vessels sealed with a bipolar electrothermal device is supraphysiological, and consequently, the device can be safely used at various articulations to seal vessels during colorectal surgery.

Indexed as

AdultAgedAged, 80 and overColonoscopyElectrosurgeryEquipment DesignFemaleHumansLaparoscopyMaleMesenteric VeinsMiddle AgedPressureProspective StudiesTreatment OutcomeYoung AdultColorectal surgeryENSEAL® G2Laparoscopic surgeryMesenteric vessels

Identifiers

PMID28144764
OpenAlexW2584475022

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.