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An UHF Thermal Coagulator for Achieving Hemostasis During Operations on Parenchymatous Organs

An UHF Thermal Coagulator for Achieving Hemostasis During Operations on Parenchymatous Organs

Gorokhov G.G., Shkalova L.V., Strikovsky А.V., Korobkov S.V., Guschin M.E., Zagainov V.E.
Key words: hemostasis; parenchymatous organs; UHF applicator; UHF coagulator.
2018, volume 10, issue 2, page 59.

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The aim of the study is to assess the possibility of using an original UHF (ultra-high frequency) coagulator with an operating frequency of 2.45 GHz to achieve hemostasis on the surfaces of parenchymatous organs.

Materials and Methods. The coagulator represents a coaxial line loaded on the antenna in the form of a monofilar Archimedean spiral. A maximal input power was 300 W. Coagulator parameters were determined by the results of numerical simulation and laboratory tests at various loads. Coagulator work was studied on ovalbumin and liver parenchyma at various exposures. Biological tissue samples from the coagulation foci were histologically investigated.

Results. A coagulation focus with the diameter equal to the applicator diameter (20 mm) is formed during 10 s exposure at the maximum input power level. Tissue coagulation sufficiently uniform in depth is observed in the focus area.

Conclusion. The character of UHF field impact on the tissue does not depend on the degree of surface humidity. The impact area matches the diameter of the device working part allowing surgeons to plan the area of the appropriate exposure. The created complex is expected to find its application for hemostasis in parenchymatous hemorrhage.

  1. Safronova E.U., Nushko K.M., Alekseev B.Y., Kalpinskiy A.S., Polyakov V.A., Kaprin A.D. Methods of performing of hemost asis during kidney resection. Research’n Practical Medicine Journal 2016; 3(1): 58–65, https://doi.org/10.17709/2409-2231-2016-3-1-8.
  2. Aleksandrov V.V., Maskin S.S., Igolkina L.A., Ermolaeva N.K. Prospects for the use of local cryohemostasis in cases of liver and splenic trauma. Kubanskiy nauchnyy meditsinskiy vestnik 2013; 7(142): 45–51.
  3. Pakhlevanyan V.G., Kolesnikov S.A. Electrical coagulation hemostasis, advantages and disadvantages. Nauchnye vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriya: Meditsina. Farmatsiya 2016; 33(5): 5–9.
  4. Nomura Y., Takamatsu T., Kawano H., Miyahara H., Okino A., Yoshida M., Azuma T. Investigation of blood coagulation effect of nonthermal multigas plasma jet in vitro and in vivo. J Surg Res 2017; 219: 302–309, https://doi.org/10.1016/j.jss.2017.06.055.
  5. Kirschbaum A., Rexin P., Pehl A., Bartsch D., Quint K. Laser resection of lung tissue: heat accumulation from adjacent laser application and how to cool it down. Thorac Cardiovasc Surg 2014; 62(4): 363–368, https://doi.org/10.1055/s-0033-1358780.
  6. Shapkin Yu.G., Maslyakova G.N., Kapralov S.V., Uryadov S.E., Ivanov R.Yu., Grishaev V.A. Laser photocoagulation of the bleeding gastric and duodenal ulcer. Khirurgiya. Zhurnal im. N.I. Pirogova 2006; 5: 23–25.
  7. Hilal Z., Mavrommati G., Foerster C., Rezniczek G.A., Hefler L.A., Tempfer C.B. Spray versus forced coagulation in large loop excision of the transformation zone: a randomized trial. J Low Genit Tract Dis 2016; 20(2): 169–173, https://doi.org/10.1097/lgt.0000000000000177.
  8. Strikovskiy A.V., Kostrov A.V., Zagainov V.E., Sudakov M.A., Odzerikho D.A. Device for thermocoagulation of biological tissues by super high frequencies. Patent RU 2481080. 2011.
  9. Zagainov V.E., Kostrov A.V., Strikovsky A.V., Gorokhov G.G., Vasenin S.A., Shkalova L.V., Rykhtick P.I., Shatokhina I.V., Bugrova M.L., Avdonin S.N. The use of a local effect of a superhigh frequency (SHF) energy for the liver tumor thermal destruction (in clinic). Sovremennye tehnologii v medicine 2011; 1: 29–33.
  10. Zagainov V.E., Kostrov A.V., Strikovskij A.V., Gorokhov G.G., Yanin D.V., Vasenin S.A., Shkalova L.V., Bugrova M.L., Snopova L.B., Atduev V.A. Experimental substantiation of the new method of thermal destruction of tumors of parenchymatous organs by the local action of the energy of superhigh frequency. Medicinskij al’manah 2011; 18(5): 60–66.
  11. Zagainov V.E., Gorokhov G.G., Zarechnova N.V., Rykhtik P.I., Vasenin S.A., Sudakov M.A., Kostrov A.V., Strikovskii A.V. Surgical treatment of colorectal cancer liver metastases with microwave thermoablation. Khirurgiya. Zhurnal im. N.I. Pirogova 2011; 8: 61–66.
Gorokhov G.G., Shkalova L.V., Strikovsky А.V., Korobkov S.V., Guschin M.E., Zagainov V.E. An UHF Thermal Coagulator for Achieving Hemostasis During Operations on Parenchymatous Organs. Sovremennye tehnologii v medicine 2018; 10(2): 59, https://doi.org/10.17691/stm2018.10.2.06


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