Minimizing thermal damage using self-cooling jaws for radiofrequency intestinal tissue fusion.

Radiofrequency (RF)-induced tissue fusion shows great potential in sealing intestinal tissue without foreign materials. To improve the performance of RF-induced tissue fusion, a novel self-cooling jaw has been designed to minimize thermal damage during the fusion. The prototype of self-cooling jaws...

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Publicado en:Minimally Invasive Therapy & Allied Technologies Vol. 32; no. 1; pp. 33 - 42
Autores principales: Tu, Liangyong, Zhou, Y. U., Wang, Peiyao, Wang, Haochen, Mao, L. I. N., Hou, Jian, Liu, Ziyue, Song, Chengli
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2023
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13645706.2022.2155064
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        atl: Minimizing thermal damage using self-cooling jaws for radiofrequency intestinal tissue fusion.
      aug:
        au:
          Tu, Liangyong
          Zhou, Y. U.
          Wang, Peiyao
          Wang, Haochen
          Mao, L. I. N.
          Hou, Jian
          Liu, Ziyue
          Song, Chengli
        affil: School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China
      sug:
        subj:
          Radiofrequency Therapy
          Temperature
          Intestines
          Cold
          Heat Adverse Effects
          Heat Prevention and Control
          Animal Studies
          Models, Biological
          Swine
          Pressure
          Descriptive Statistics
          Anastomosis, Surgical
      ab: Radiofrequency (RF)-induced tissue fusion shows great potential in sealing intestinal tissue without foreign materials. To improve the performance of RF-induced tissue fusion, a novel self-cooling jaw has been designed to minimize thermal damage during the fusion. The prototype of self-cooling jaws was developed and manufactured. A total number of 60 mucosa-to-mucosa fusions were conducted using ex-vivo porcine intestinal segments with the proposed design and conventional bipolar jaws. The effects of intestinal fusion were evaluated based on temperature curves, burst pressure, thermal damage, and histological appearances. The self-cooling jaws showed significant decrease in temperature during the fusion process. An optimal burst pressure (5.7 ± 0.5 kPa) and thermal damage range (0.9 ± 0.1 mm) were observed when the applied RF power was 100 W. The thermal damage range of the prototype has almost decreased 36% in comparison with the conventional bipolar jaws (1.4 ± 0.1 mm). The histological observation revealed that a decrease of thermal damage was achieved through the application of self-cooling jaws. The self-cooling jaws were proved to be effective for reducing the thermal damage during RF-induced tissue fusion, which could potentially promote the clinical application of tissue fusion techniques in the future.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
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      ougenre: Article
    language: English
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