A novel discrete linkage-type electrode for radiofrequency-induced intestinal anastomosis

INTRODUCTION: For decades, radiofrequency (RF)-induced tissue fusion has garnered great attention due to its potential to replace sutures and staples for anastomosis of tissue reconstruction. However, the complexities of achieving high bonding strength and reducing excessive thermal damage present substantial limitations of existing fusion devices.

MATERIALS AND METHODS: This study proposed a discrete linkage-type electrode to carry out ex vivo RF-induced intestinal anastomosis experiments. The anastomotic strength was examined by burst pressure and shear strength test. The degree of thermal damage was monitored through an infrared thermal imager. And the anastomotic stoma fused by the electrode was further investigated through histopathological and ultrastructural observation.

RESULTS: The burst pressure and shear strength of anastomotic tissue can reach 62.2 ± 3.08 mmHg and 8.73 ± 1.11N, respectively, when the pressure, power and duration are 995 kPa, 160 W and 13 s, and the thermal damage can be controlled within limits. Histopathological and ultrastructural observation indicate that an intact and fully fused stomas with collagenic crosslink can be formed.

CONCLUSION: The discrete linkage-type electrode presents favorable efficiency and security in RF-induced tissue fusion, and these results are informative to the design of electrosurgical medical devices with controllable pressure and energy delivery.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy - 33(2024), 2 vom: 01. Apr., Seite 71-79

Sprache:

Englisch

Beteiligte Personen:

Hu, Zhongxin [VerfasserIn]
Mao, Lin [VerfasserIn]
Liu, Xuyan [VerfasserIn]
Xing, Xupo [VerfasserIn]
Zhang, Linying [VerfasserIn]
Zhou, Quan [VerfasserIn]
Song, Chengli [VerfasserIn]

Links:

Volltext

Themen:

9007-34-5
Anastomotic strength
Collagen
Electrode design
Journal Article
Radiofrequency energy
Thermal damage
Tissue fusion

Anmerkungen:

Date Completed 03.04.2024

Date Revised 03.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13645706.2023.2291439

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367097656