Bipolar Radiofrequency-Based Hemorrhage Arrest in Solid Organ Injury: A Technique to Arrest Bleeding in Porcine Model With Liver Injury Using Electrosurgery

Published: April 30, 2023

Abstract

Source: Clements, T. W., et al. A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma. J. Vis. Exp. (2020).

This video demonstrates a technique of bipolar radiofrequency energy-based transcollation for hemorrhage arrest in solid organ injury in a porcine model. This method is helpful for the surgical management of traumatic injury by achieving hemostasis by arresting bleeding at the injury site.

Protocol

All procedures involving animal models have been reviewed by the local institutional animal care committee and the JoVE veterinary review board. 1. Model Preparation House the 50 kg adult male pig in an animal care facility for 1 week prior to the surgery to acclimatize the animal to the housing conditions and the handlers. Fast the model for a minimum of 6 h prior to the initiation of anesthesia. Anesthetize the model using an intramuscular injection of ketamine (33 mg/k…

Representative Results

Figure 1: Saline/bipolar radiofrequency (SBRF) energy device. (A) This panel shows the SBRF device handpiece with the single-button design. (B) This panel shows the SBRF's 6.0 blunt bipolar sealing tip.

Declarações

The authors have nothing to disclose.

Materials

Aquamantys pump generator Medtronic 40-402-1
Aquamantys 6.0 bipolar sealer Medtronic 23-112-1
Electrosurgical pencil with tip Megadyne 39
Porcine animal
Porcine ventilator/induction and anesthetic medications
2 x 1 liter bags of 0.9% normal saline
2 x scalpels (#10)
Belfour abdominal retractor
Suction tubing
Suction tip
Suction device/wall connector
Suction canister
Debakey forceps
Metz scissors
Curved Mayo scissors
Closing suture (1-0 Nylon)
20 x Laparotomy sponges
2 x Kelley clamps
2 x snap clamps

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Bipolar Radiofrequency-Based Hemorrhage Arrest in Solid Organ Injury: A Technique to Arrest Bleeding in Porcine Model With Liver Injury Using Electrosurgery. J. Vis. Exp. (Pending Publication), e20916, doi: (2023).

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