Electrothermal injuries in monopolar laparoscopy may derive indirectly, but rarely, from capacitive coupling releasing stray currents into neighboring non-targeted tissues, with intact instrument insulation. Since 2007, seven episodes of indirect electrosurgical damage to non-targeted tissues have been observed in our gynecological practice, including incidental coagulative necrosis of appendix, Fallopian tube, cystic pedicle, and broad ligament stump. Such an electrical response becomes greater where there is increased contact with the cystic wall (cysts <3 cm in diameter). Appropriate measures are available for minimizing capacitive coupling specifically caused by monopolar electrocautery. Thorough staff training, regular safety inspections, and strict procedure performance should exist to minimize such risks and injuries.

译文

:单极腹腔镜检查中的电热损伤可能是间接产生的,但很少来自电容耦合,其将杂散电流释放到周围的非目标组织中,并且仪器绝缘完整。自2007年以来,在我们的妇科实践中已观察到7例非目标组织的间接电外科手术间接损伤,包括阑尾的偶然性凝固性坏死,输卵管,胆囊蒂和阔韧带残端。当与囊壁(直径小于3 cm的囊)的接触增加时,这种电响应会变大。可以采取适当的措施来最大程度地减少由单极电灼引起的电容耦合。应进行彻底的员工培训,定期安全检查和严格的程序执行,以最大程度地减少此类风险和伤害。

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