A Feasibility Study of Closing the Small Bowel with High-frequency Welding Device_Journal of Biomedical Engineering

Authors：

ZHOUHuabin ¹ , HANShuai ¹ , CHENJun ² , HUANGDequn ² , PENGLiang ¹ , NINGJingxuan ¹ ,  LIZhou ¹

1. Department of General Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China;
2. Guangdong Institute of Medical Instruments;National Engineering Research Center for Healthcare Devices, Guangzhou 510500, China;

Corresponding author：

LIZhou, Email: leezhou888@126.com

Keywords：

small bowel; closing; welding

DOI：

10.7507/1001-5515.20140252

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This study aimed to evaluate the feasibility and effectiveness of closing the small bowel in an ex vivo porcine model with high-frequency welding device. A total of 100 porcine small bowels were divided into two groups, and then were closed with two different methods. The fifty small bowels in experimental group were closed by the high-frequency welding device, and the other fifty small bowels in comparison group were hand-sutured. All the small bowels were subjected to leak pressure testing later on. The speed of closure and bursting pressure were compared. The 50 porcine small bowels closed by the high-frequency welding device showed a success rate of 100%. Compared with the hand-sutured group, the bursting pressures of the former were significantly lower (P<0.01) and the closing process was significantly shorter (P<0.01). The pathological changes of the closed ends mainly presented as acute thermal and pressure induced injury. Experimental results show that the high-frequency welding device has higher feasibility in closing the small bowel.

Citation： ZHOUHuabin, HANShuai, CHENJun, HUANGDequn, PENGLiang, NINGJingxuan, LIZhou. A Feasibility Study of Closing the Small Bowel with High-frequency Welding Device. Journal of Biomedical Engineering, 2014, 31(6): 1332-1335. doi: 10.7507/1001-5515.20140252 Copy

1.	SAUER J S, ROGERS D W, HINSHAW J R. Bursting pressures of CO₂ laser-welded rabbit ileum[J]. Lasers Surg Med, 1986, 6(2):106-109.
2.	VLASAK J W, KOPCHOK G E, WHITE R A. Closure of rabbit ileum enterotomies with the argon and CO₂ lasers:bursting pressures and histology[J]. Lasers Surg Med, 1988, 8(5):527-532.
3.	李仲荣,熊闰聪.二氧化碳激光焊接兔小肠断端的初步尝试[J].激光医学,1995,5(1):9-10, 30.
4.	KAWAHARA M, KURAMOTO S, RYAN P, et al. First experimental sutureless end-to-end laser anastomosis of the large bowel. Short-term results[J]. Dis Colon Rectum, 1992, 35(8):792-798.
5.	MENOVSKY T, BEEK J F, THOMSEN S L. Laser(-assisted) nerve repair. A review[J]. Neurosurg Rev, 1995, 18(4):225-235.
6.	PIERRE S A, ALBALA D M. The future of lasers in urology[J]. World J Urol, 2007, 25(3):275-283.
7.	FINK S. The intraluminal pressures in the intact human intestine[J]. Gastroenterology, 1959, 36(5):661-671.
8.	SANTINI M, FIORELLI A, MESSINA G, et al. The use of the LigaSure device and the Stapler in closure of the small bowel:a comparative ex vivo study[J]. Surg Today, 2013, 43(7):787-793.
9.	SODERGREN M, CLARK J, BEARDSLEY J, et al. A novel flexible endoluminal stapling device for use in NOTES colotomy closure:a feasibility study using an ex vivo porcine model[J]. Surg Endosc, 2011, 25(10):3266-3272.
10.	ARNOLD W, SHIKORA S A. A comparison of burst pressure between buttressed versus non-buttressed staple-lines in an animal model[J]. Obes Surg, 2005, 15(2):164-171.
11.	LANDMAN J, KERBL K, REHMAN J, et al. Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model[J]. J Urol, 2003, 169(2):697-700.
12.	CAMPBELL P A, CRESSWELL A B, FRANK T G, et al. Real-time thermography during energized vessel sealing and dissection[J]. Surg Endosc, 2003, 17(10):1640-1645.
13.	KIM F J, CHAMMAS M F Jr, GEWEHR E, et al. Temperature safety profile of laparoscopic devices:Harmonic ACE (ACE), Ligasure V (LV), and plasma trisector (PT)[J]. Surg Endosc, 2008, 22(6):1464-1469.
14.	ZOHAR Y, SADOV R, STRAUSS M, et al. Ultrastructural study of peripheral nerve injury induced by monopolar and bipolar diathermy[J]. Ann Otol Rhinol Laryngol, 1996, 105(9):673-677.
15.	KUNDE D, WELCH C. Ultracision in gynaecological laparoscopic surgery[J]. J Obstet Gynaecol, 2003, 23(4):347-352.
16.	AHLERING T E, EICHEL L, CHOU D, et al. Feasibility study for robotic radical prostatectomy cautery-free neurovascular bundle preservation[J]. Urology, 2005, 65(5):994-997.
17.	王振军.机械缝合器械使用中存在的问题及其预防和处理[J].中国实用外科杂志,2007,27(12):1011-1013.
18.	ELGEIDIE A, GADEL H N, ABDULLA T. Stapler's malfunction during laparoscopic sleeve gastrectomy:an unusual but correctable complication[J]. Surg Obes Relat Dis, 2013, 9(1):144-146.

1. SAUER J S, ROGERS D W, HINSHAW J R. Bursting pressures of CO₂ laser-welded rabbit ileum[J]. Lasers Surg Med, 1986, 6(2):106-109.
2. VLASAK J W, KOPCHOK G E, WHITE R A. Closure of rabbit ileum enterotomies with the argon and CO₂ lasers:bursting pressures and histology[J]. Lasers Surg Med, 1988, 8(5):527-532.
3. 李仲荣,熊闰聪.二氧化碳激光焊接兔小肠断端的初步尝试[J].激光医学,1995,5(1):9-10, 30.
4. KAWAHARA M, KURAMOTO S, RYAN P, et al. First experimental sutureless end-to-end laser anastomosis of the large bowel. Short-term results[J]. Dis Colon Rectum, 1992, 35(8):792-798.
5. MENOVSKY T, BEEK J F, THOMSEN S L. Laser(-assisted) nerve repair. A review[J]. Neurosurg Rev, 1995, 18(4):225-235.
6. PIERRE S A, ALBALA D M. The future of lasers in urology[J]. World J Urol, 2007, 25(3):275-283.
7. FINK S. The intraluminal pressures in the intact human intestine[J]. Gastroenterology, 1959, 36(5):661-671.
8. SANTINI M, FIORELLI A, MESSINA G, et al. The use of the LigaSure device and the Stapler in closure of the small bowel:a comparative ex vivo study[J]. Surg Today, 2013, 43(7):787-793.
9. SODERGREN M, CLARK J, BEARDSLEY J, et al. A novel flexible endoluminal stapling device for use in NOTES colotomy closure:a feasibility study using an ex vivo porcine model[J]. Surg Endosc, 2011, 25(10):3266-3272.
10. ARNOLD W, SHIKORA S A. A comparison of burst pressure between buttressed versus non-buttressed staple-lines in an animal model[J]. Obes Surg, 2005, 15(2):164-171.
11. LANDMAN J, KERBL K, REHMAN J, et al. Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model[J]. J Urol, 2003, 169(2):697-700.
12. CAMPBELL P A, CRESSWELL A B, FRANK T G, et al. Real-time thermography during energized vessel sealing and dissection[J]. Surg Endosc, 2003, 17(10):1640-1645.
13. KIM F J, CHAMMAS M F Jr, GEWEHR E, et al. Temperature safety profile of laparoscopic devices:Harmonic ACE (ACE), Ligasure V (LV), and plasma trisector (PT)[J]. Surg Endosc, 2008, 22(6):1464-1469.
14. ZOHAR Y, SADOV R, STRAUSS M, et al. Ultrastructural study of peripheral nerve injury induced by monopolar and bipolar diathermy[J]. Ann Otol Rhinol Laryngol, 1996, 105(9):673-677.
15. KUNDE D, WELCH C. Ultracision in gynaecological laparoscopic surgery[J]. J Obstet Gynaecol, 2003, 23(4):347-352.
16. AHLERING T E, EICHEL L, CHOU D, et al. Feasibility study for robotic radical prostatectomy cautery-free neurovascular bundle preservation[J]. Urology, 2005, 65(5):994-997.
17. 王振军.机械缝合器械使用中存在的问题及其预防和处理[J].中国实用外科杂志,2007,27(12):1011-1013.
18. ELGEIDIE A, GADEL H N, ABDULLA T. Stapler's malfunction during laparoscopic sleeve gastrectomy:an unusual but correctable complication[J]. Surg Obes Relat Dis, 2013, 9(1):144-146.

Journal of Biomedical Engineering

A Feasibility Study of Closing the Small Bowel with High-frequency Welding Device

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