380. Gefahren durch die unipolare Diathermie für den Gefäßstiel bei Lappenplastiken

I. Wölfl; I. Vassiliou; U. Bloch; St Schwindt; K. Geißdörfer; H. Weithmann; E. Biemer; G. Blümel

doi:10.1007/BF01276206

380. Gefahren durch die unipolare Diathermie für den Gefäßstiel bei Lappenplastiken

Translated title of the contribution: Dangers for the blood supply of vascular pedicle flaps arising from the use of unipolar diathermy

I. Wölfl, I. Vassiliou, U. Bloch, St Schwindt, K. Geißdörfer, H. Weithmann, E. Biemer, G. Blümel

TUM Emeriti of Excellence

Technical University of Munich

Research output: Contribution to journal › Article › peer-review

Abstract

During coagulation at vascular pedicle flaps by means of unipolar diathermy the high-frequency current passes from the actual site of coagulation to the neutral electrode outside the flap, thus running through the nutrient vessels. This means that at higher amperages the nutrient vessels could suffer irreversible damage, as the current reaches its highest density there. This consideration was applied to an animal model and was fully confirmed both macroscopically and micromorphologically. These effects are not seen in bipolar diathermy.

Translated title of the contribution	Dangers for the blood supply of vascular pedicle flaps arising from the use of unipolar diathermy
Original language	German
Pages (from-to)	918
Number of pages	1
Journal	Langenbecks Archiv für Chirurgie
Volume	361
Issue number	1
DOIs	https://doi.org/10.1007/BF01276206
State	Published - Dec 1983

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title = "380. Gefahren durch die unipolare Diathermie f{\"u}r den Gef{\"a}{\ss}stiel bei Lappenplastiken",

abstract = "During coagulation at vascular pedicle flaps by means of unipolar diathermy the high-frequency current passes from the actual site of coagulation to the neutral electrode outside the flap, thus running through the nutrient vessels. This means that at higher amperages the nutrient vessels could suffer irreversible damage, as the current reaches its highest density there. This consideration was applied to an animal model and was fully confirmed both macroscopically and micromorphologically. These effects are not seen in bipolar diathermy.",

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author = "I. W{\"o}lfl and I. Vassiliou and U. Bloch and St Schwindt and K. Gei{\ss}d{\"o}rfer and H. Weithmann and E. Biemer and G. Bl{\"u}mel",

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AU - Wölfl, I.

AU - Vassiliou, I.

AU - Bloch, U.

AU - Schwindt, St

AU - Geißdörfer, K.

AU - Weithmann, H.

AU - Biemer, E.

AU - Blümel, G.

PY - 1983/12

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N2 - During coagulation at vascular pedicle flaps by means of unipolar diathermy the high-frequency current passes from the actual site of coagulation to the neutral electrode outside the flap, thus running through the nutrient vessels. This means that at higher amperages the nutrient vessels could suffer irreversible damage, as the current reaches its highest density there. This consideration was applied to an animal model and was fully confirmed both macroscopically and micromorphologically. These effects are not seen in bipolar diathermy.

AB - During coagulation at vascular pedicle flaps by means of unipolar diathermy the high-frequency current passes from the actual site of coagulation to the neutral electrode outside the flap, thus running through the nutrient vessels. This means that at higher amperages the nutrient vessels could suffer irreversible damage, as the current reaches its highest density there. This consideration was applied to an animal model and was fully confirmed both macroscopically and micromorphologically. These effects are not seen in bipolar diathermy.

KW - Unipolar diathermy

KW - Vascular pedicle flaps

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380. Gefahren durch die unipolare Diathermie für den Gefäßstiel bei Lappenplastiken

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