Evidence map›Paper›PMID 28438057›Full record

ArticleSurgical innovation2017

The Art of Electrosurgery: Trainees and Experts.

Frédérique C Meeuwsen, Annetje C P Guédon, Ewout A Arkenbout, Maarten van der Elst, Jenny Dankelman, John J van den Dobbelsteen

Abstract read
In one paragraph

Article in Surgical innovation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Energy profile of laparoscopic TEP bilateral inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Observational
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
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  8. Article
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  12. Quantitative Comparison of Surgical Device Usage in Laparoscopic Gastrectomy Between Surgeons' Skill Levels: an Automated Analysis Using a Neural Network.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
  13. Article
  14. Acoustic signal analysis of instrument-tissue interaction for minimally invasive interventions.International journal of computer assisted radiology and surgery · 2020
    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

6 authors.

Frédérique C Meeuwsen1 Delft University of Technology, Delft, Netherlands.
Annetje C P Guédon1 Delft University of Technology, Delft, Netherlands.
Ewout A Arkenbout1 Delft University of Technology, Delft, Netherlands.
Maarten van der Elst2 Reinier de Graaf Groep, Delft, Netherlands.
Jenny Dankelman1 Delft University of Technology, Delft, Netherlands.
John J van den Dobbelsteen1 Delft University of Technology, Delft, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The benefits of electrosurgery have been acknowledged since the early 1920s, and nowadays more than 80% of surgical procedures involve devices that apply energy to tissues. Despite its widespread use, it is currently unknown how the operator's choices with regard to instrument selection and application technique are related to complications. As such, the manner in which electrosurgery is applied can have a serious influence on the outcome of the procedure and the well-being of patients. The aim of this study is to investigate the variety of differences in usage of electrosurgical devices. Our approach is to measure these parameters to provide insight into application techniques. A sensor was developed that records the magnitude of electric current delivered to an electrosurgical device at a frequency of 10 Hz. The sensor is able to detect device activation times and a reliable estimate of the power-level settings. Data were recorded for 91 laparoscopic cholecystectomies performed by different surgeons and residents. Results of the current measurement data show differences in the way electrosurgery is applied by surgeons and residents during a laparoscopic cholecystectomy. Variations are seen in the number of activations, the activation time, and the approach for removal of the gallbladder. Analysis showed that experienced surgeons have a longer activation time than residents (3.01 vs 1.41 seconds, P < .001) and a lower number of activations (102 vs 123). This method offers the opportunity to relate application techniques to clinical outcome and to provide input for the development of a best practice model.

Indexed as

ElectrosurgeryPatient SafetyAdolescentAdultAgedAged, 80 and overCholecystectomy, LaparoscopicEducation, MedicalFemaleHumansMaleMiddle AgedYoung Adultbest practice modelelectrosurgerymedical technologypatient safetysurgical training

Identifiers

PMID28438057
PMCPMC5505226

What OpenQuestion holds

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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.