Other language title :
ﻣﻘﺎﻳﺴﻪ ﻫﻤﻮﺳﺘﺎز ﺗﻚ ﻗﻄﺒﻲ و دو ﻗﻄﺒﻲ در ﺑﺮداﺷﺖ رﺣﻢ و ﺗﺨﻤﺪان ﺑﻪ روش ﻻﭘﺎروﺳﻜﻮﭘﻲ در ﺳﮓ
Title of article :
Comparison of Mono and Bipolar Electrocoagulation in Laparoscopic Ovariohysterectomy in Dogs
Author/Authors :
Berenjian, Samane Department of Clinical Sciences - Faculty of Veterinary Medicine - University of Tehran , Bakhtiari, Jalal Department of Clinical Sciences - Faculty of Veterinary Medicine - University of Tehran , Khalaj, Ali Reza Faculty of Medicnine - Shahed University , Niasari Naslaji, Amir Department of Clinical Sciences - Faculty of Veterinary Medicine - University of Tehran
Pages :
8
From page :
29
To page :
36
Abstract :
Objective- To evaluate the clinical safety and superiority of monopolar and bipolar electrocauter in laparoscopic ovariohysterectomy in dogs. Design-Elective experimental study Animals- Twenty four mixed breed healthy adult female dogs. Procedures-The dogs divided into two equal groups. Laparoscopic ovariohysterectomy performed using either monopolar (n=12) or bipolar (n=12) electrocoagulation. Under general anesthesia, dorsal recumbency and reverse trendelenburg position a 10 mm portal for camera insertion at the umbilicus. Two other 5 mm portals were placed 5 cm cranial and caudal to umbilicus in both groups. Monopolar electrocauter were used for coagulation and cutting but bipolar electrocauter were used for coagulation only. Following identification of ovaries, suspensory ligament, ovarian vessels, broad ligament and uterine vessels and body were coagulated and cut. The pedicles were checked for any signs of hemorrhage. Ovaries, broad ligament and uterus were removed from the abdomen through umbilical portals. Results-There were no significant differences between surgical time and the amount of hemorrhage in both groups. Significant differences observed in degrees of the released smoke and tissue burning between groups. Conclusion- As a whole we concluded that the bipolar electrocauter was superior to monopolar electrocoagulator in laparoscopic ovariohysterectomy and has the advantages of decreasing released smoke and burnt tissue compare to that of monopolar electrocauter
Farsi abstract :
ﻫﺪف- ﻣﻘﺎﻳﺴﻪ ارﺟﺤﻴﺖ ﻫﻤﻮﺳﺘﺎز ﺗﻚ ﻗﻄﺒﻲ و دو ﻗﻄﺒﻲ در ﺟﺮاﺣﻲ ﺑﺮداﺷﺖ رﺣﻢ و ﺗﺨﻤﺪان ﺑﻪ روش ﻻﭘﺎروﺳﻜﻮﭘﻲ در ﺳﮓ. ﻃﺮح: ﻣﻄﺎﻟﻌﻪ ﺗﺠﺮﺑﻲ اﻧﺘﺨﺎﺑﻲ ﺣﻴﻮاﻧﺎت- ﺑﻴﺴﺖ و ﭼﻬﺎر ﻗﻼده ﺳﮓ ﻣﺎده ﺑﺎﻟﻎ از ﻧﮋاد ﻣﺨﻠﻮط روش ﻛﺎر- ﻛﻠﻴﻪ ﺳﮕﻬﺎ ﺗﺤﺖ ﺑﻴﻬﻮﺷﻲ ﻋﻤﻮﻣﻲ در دو ﮔﺮوه ﻣﺴﺎوي ﺑﺮاي ﺟﺮاﺣﻲ ﻻﭘﺎروﺳﻜﻮﭘﻴﻚ ﺑﺮداﺷﺖ رﺣﻢ و ﺗﺨﻤﺪان ﺑﺎ اﺳﺘﻔﺎده از اﻟﻜﺘﺮوﻛﻮﺗﺮ ﺗﻚ ﻗﻄﺒﻲ و دو ﻗﻄﺒﻲ در ﺣﺎﻟﺖ ﺧﻮاﺑﻴﺪه ﺑﻪ ﭘﺸﺖ و زاوﻳﻪ 30 درﺟﻪ ﻧﺴﺒﺖ ﺑﻪ ﺧﻂ اﻓﻖ ﺑﻪ ﻃﻮرﻳﻜﻪ ﺳﺮ در ﺳﻄﺢ ﭘﺎﻳﻴﻦ ﺗﺮي ﻧﺴﺒﺖ ﺑﻪ ﺑﺪن ﻗﺮار داﺷﺖ آﻣﺎده ﺷﺪﻧﺪ. در ﻫﺮ دو ﮔﺮوه ﺗﺮوﻛﺎر 10 ﻣﻴﻠﻴﻤﺘﺮي ﺑﺮاي ﻋﺒﻮر دورﺑﻴﻦ در ﻧﺎﺣﻴﻪ ﻧﺎف ﻛﺎر ﮔﺬاﺷﺘﻪ ﺷﺪ. ﺳﭙﺲ دو ﭘﻮرت دﻳﮕﺮ 5 ﻣﻴﻠﻴﻤﺘﺮي در 5 ﺳﺎﻧﺘﻴﻤﺘﺮي ﻗﺪاﻣﻲ و ﺧﻠﻔﻲ ﻧﺎف ﻛﺎر ﮔﺬاﺷﺘﻪ ﺷﺪﻧﺪ. ﭘﺲ از ﺷﻨﺎﺳﺎﻳﻲ ﺗﺨﻤﺪاﻧﻬﺎ، ﻟﻴﮕﺎﻣﻨﺖ ﻣﻌﻠﻘﻪ و ﭘﺎﻳﻪ ﻋﺮوﻗﻲ ﺗﺨﻤﺪاﻧﻬﺎ، ﻟﻴﮕﺎﻣﻨﺖ ﭘﻬﻦ رﺣﻢ و ﺑﺪﻧﻪ رﺣﻢ در ﻣﺤﻞ ﺑﺎﻻﺗﺮ از ﺳﺮوﻳﻜﺲ در ﻫﺮ دو ﮔﺮوه ﻗﻄﻊ ﺷﺪﻧﺪ، ﺑﺎ اﻳﻦ ﺗﻔﺎوت ﻛﻪ در ﮔﺮوه A از اﻟﻜﺘﺮوﻛﻮﺗﺮ ﺗﻚ ﻗﻄﺒﻲ و در ﮔﺮوه B از اﻟﻜﺘﺮوﻛﻮﺗﺮ دو ﻗﻄﺒﻲ اﺳﺘﻔﺎده ﺷﺪ. در ﻧﻬﺎﻳﺖ ﭘﺲ از اﻃﻤﻴﻨﺎن از ﻫﻤﻮﺳﺘﺎز ﻛﺎﻣﻞ، رﺣﻢ و ﺗﺨﻤﺪاﻧﻬﺎ از ﻣﺤﻞ ﭘﻮرت ﻧﺎف ﺧﺎرج ﺷﺪﻧﺪ. ﻛﻠﻴﻪ ﺟﺮاﺣﻲ ﻫﺎ ﺑﺎ ﻣﻮﻓﻘﻴﺖ اﻧﺠﺎم ﺷﺪ و ﻫﻴﭽﮕﻮﻧﻪ ﻋﻮارﺿﻲ ﺣﻴﻦ ﺟﺮاﺣﻲ و ﭘﺲ از آن در ﺳﮕﻬﺎ دﻳﺪه ﻧﺸﺪ. در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺨﺘﻠﻔﻲ ﺷﺎﻣﻞ ﻣﺪت زﻣﺎن ﺟﺮاﺣﻲ ، ﻣﻴﺰان ﺧﻮﻧﺮﻳﺰي ، اﻧﺘﺸﺎر دود و ﻣﻴﺰان ﺳﻮﺧﺘﮕﻲ ﺑﺮرﺳﻲ ﺷﺪﻧﺪ و ﻛﻠﻴﻪ ﺟﺮاﺣﻲ ﻫﺎ ﺗﻮﺳﻂ دﺳﺘﮕﺎه ﺿﺒﻂ وﻳﺪﻳﻮﻳﻲ ﻣﻮرد ﺛﺒﺖ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﻧﺘﺎﻳﺞ- از ﻣﻴﺎن ﻓﺎﻛﺘﻮرﻫﺎي ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﻴﻦ ﻣﺪت زﻣﺎن ﺟﺮاﺣﻲ و ﻣﻴﺰان ﺧﻮﻧﺮﻳﺰي ﺗﻔﺎوت ﻣﻌﻨﻲ داري ﻣﺸﺎﻫﺪه ﻧﮕﺮدﻳﺪ )0/05>P (. اﻣﺎ ﻣﻴﺰان ﺳﻮﺧﺘﮕﻲ و ﻣﻴﺰان اﻧﺘﺸﺎر دود در ﻣﺤﻮﻃﻪ ﺑﻄﻨﻲ ﺑﻪ ﻃﻮر ﻣﻌﻨﻲ داري 0/05

Keywords :
monopolar , bipolar , electrocoagulation , ovariohysterectomy , laparoscopy , dog
Journal title :
Astroparticle Physics
Serial Year :
2010
Record number :
2445078
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