Opportunistic use of a Foley catheter to provide a common electrocautery with a water-irrigating channel for hepatic parenchymal transection

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• 作者：Yuzo Yamamoto ; Masato Yoshioka ; Go Watanabe ; Hiroshi Uchinami
• 关键词：Electrocautery ; Hepatic parenchymal transection ; Water irrigation channel
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：45
• 期：11
• 页码：1457-1462
• 全文大小：924 KB
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• 作者单位：Yuzo Yamamoto (1)
  Masato Yoshioka (1)
  Go Watanabe (1)
  Hiroshi Uchinami (1)
  
  1. Department of Gastroenterological Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

High-tech surgical energy devices that are used during a single surgery have increased in number and the expense for such disposable units is by no means negligible. We developed a handmade water-irrigating monopolar electrocautery using a Foley catheter to perform liver parenchymal transection. A commonly used 20-4 Fr Foley catheter was cut at a length of about 8 cm. The shaft of the 5 mm ball electrode measuring 13.5 cm in length was then inlaid into the urine drainage channel. The target tissues were cauterized without making an eschar, thereby preventing the adhesion of the electrode to the tissues. A ball electrode with our handmade water irrigation sheath can be made in only a few minutes at a very low cost, using common medical supplies and yielding satisfactory effects comparable to the use of specialized high-tech devices. Keywords Electrocautery Hepatic parenchymal transection Water irrigation channel