ArticlePloS one2019
Effect of multiple use and sterilization on sealing performance of bipolar vessel sealing devices.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Description of a Modified Two-Step Omphalectomy Technique Using the LigaSureAnimals : an open access journal from MDPI · 2025Article
- Ureteral Closure Using Advanced Bipolar Vessel Sealing Devices During Laparoscopic Nephrectomy in Dogs and Cats: A Pilot Series of Clinical Cases.Life (Basel, Switzerland) · 2024Article
- Comparison of two advanced bipolar tissue sealer/dividers for laparoscopic ovariectomy in dogs: articulating enseal G2 versus Ligasure Maryland device.Acta veterinaria Scandinavica · 2023Article
- "In Vitro" Evaluation of Energy-Based Sealing of Graft Side Branches in Bypass Surgery.World journal of surgery · 2023Article
- Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy.Veterinary world · 2023Article
- Ex vivo comparison of sliding knot ligatures vs. haemostatic clips for equine small intestinal mesenteric vessel occlusion.BMC veterinary research · 2020Article
- Safety and reliability of reused expensive disposables in shoulder arthroscopy procedures.Canadian journal of surgery. Journal canadien de chirurgieReview
- Partial lung lobectomy with the CaimanOpen veterinary journalReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvanced bipolar vessel sealing devices are widely used in human and veterinary medicine to reduce the operation time and intraoperative blood loss. Because most devices are made for a single use, their application is cost intensive. The aim of this study was to investigate the influence of multiple uses and sterilization on the performance of bipolar vessel sealing devices.
methodsThe burst pressure of sealed porcine renal arteries was compared between the disposable devices "LigaSure"(Valleylab) and "Caiman"(Braun Vetcare) and the reuseable device "MarSeal"(KLS Martin). Additionally, the influence of the sterilization process was investigated, and the sealing time, number of cutting activations and tissue sticking were noted.
resultsThe disposable devices showed reliable performances over multiple activations and sterilization cycles, except for one Caiman device. Seals created with all devices achieved supra-physiologic burst pressures, with the highest pressure measured in a cycle using a MarSeal device. DISCUSSION: During 25 activations with and without intermittent sterilization, no correlation was found between increasing seal numbers and decreasing burst pressure. However, the number of cycles in our study was limited to five.
conclusionFor limited numbers of cycles and sterilization procedures, seals created with the disposable vessel sealing devices LigaSure and Caiman achieved burst pressures comparaable to those produced with the reuseable MarSeal.
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