ArticleBMC surgery2020
Thermal effects of monopolar electrosurgery detected by real-time infrared thermography: an experimental appendectomy study.
Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 23 citations in OpenAlex.
- From Biomaterial Innovation to Surgical Practice: A Systematic Review of RADA16 Self-Assembling Peptide Hydrogel in Otolaryngology and Head & Neck Surgery.Journal of clinical medicine · 2026Review
- Minimally invasive surgery: a historical and legal perspective on technological transformation.Journal of robotic surgery · 2025Review
- Thermal effects of the anovoBMC surgery · 2025Article
- Enhancing Surgical Precision in Autonomous Robotic Incisions via Physics-Based Tissue Cutting Simulation.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2024Article
- Clipless internal mammary artery harvesting for minimally invasive coronary artery bypass grafting using the shear-tip harmonic scalpel.Journal of thoracic disease · 2024Article
- The influence of perivascular tissue on lateral thermal expansion during bipolar vessel sealing.Surgery in practice and science · 2023Article
- Surgeons know that they don't know about the safe use of surgical energy: an international study reveals that the knowledge gap persists.Surgical endoscopy · 2023Article
- Measuring thermal spread during bipolar cauterizing using an experimental pneumoperitoneum and thermal sensors.Frontiers in surgery · 2023Article
- Temperature profile and residual heat of monopolar laparoscopic and endoscopic dissection instruments.Surgical endoscopy · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMonopolar energy (ME) is routinely used in appendectomy. This study aimed to investigate the degree of lateral thermal spread generated by ME and to evaluate the thermal injury sustained by the close-lying tissues.
methodsAppendectomy with a monopolar Maryland dissector was performed in 8 rabbits (at 30 and 60 W power settings). A high-resolution infrared camera was used to record tissue heating during the intervention. After autopsy macroscopic changes were evaluated and tissue samples were subjected to myeloperoxidase (MPO) assay and histological examination.
resultsNo significant differences in the extent of thermal spread, MPO activity and histological signs of inflammation were observed between groups. Regardless of the power settings, the heat spread exceeded 2 cm laterally along the mesoappendix when application time exceeded 3 s. The spread of heat through tubular structures in both groups caused a significant temperature rise in the nearby intestinal loop, resulting in perforation (n = 3) and necrosis (n = 1).
conclusionsApplication time is critical in thermal spread during appendectomy aided by ME. Tubular anatomic structures can enhance thermal injury on distant tissues. The observed effects of ME bear clinical relevance that need further investigation.
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