CC BY-NC-ND 4.0 · Indian J Plast Surg 2008; 41(02): 162-166
DOI: 10.4103/0970-0358.44932 
Original Article
Association of Plastic Surgeons of India

Irrigation-coupled bipolar cautery unit: A practical, economical, and simple version

Sharma Shekhar
Department of Surgical Oncology, Amrita Institute of Medical Sciences & Research Center, Ernakulam (682026), Kerala, India
,
Haji Altaf Gauhar
Department of Surgical Oncology, Amrita Institute of Medical Sciences & Research Center, Ernakulam (682026), Kerala, India
,
D. K. Vijaykumar
Department of Surgical Oncology, Amrita Institute of Medical Sciences & Research Center, Ernakulam (682026), Kerala, India
,
A. K. Shaji
Department of Surgical Oncology, Amrita Institute of Medical Sciences & Research Center, Ernakulam (682026), Kerala, India
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

Hemostasis is a fundamental principle of surgery for which electrocoagulation is universally used. Bipolar electrocautery has an advantage over monopolar electrocautery in terms of the precision of the extent of tissue coagulation and the lateral extent of thermal tissue injury. However, secondary to the thermal changes induced in the tissue due to electric current passage, there is charring of tissue, which adheres to the cautery tip. This, not only decreases its effectiveness, but also, by getting avulsed while removing the cautery tip from the surgical field, causes rebleeding and more trauma to the tissue. Irrigation of the surgical field during application of cautery reduces the charring effect, thereby improving the efficiency and efficacy. Irrigation-coupled electrocautery devices are available but are costly to acquire and maintain. We describe a simple and reliable version of an irrigation-coupled cautery device, which is of immense functional utility in our experience. It decreases the amount of charring of the tissue and its adherence to the bipolar forceps tips, thereby decreasing the frustrating loss of effectiveness and also increases the life of the bipolar forceps as cleaning needs to be less frequent. By virtue of its simplicity and cost-effectiveness, it can be used in almost all hospitals and situations.