Experimental and clinical rationale for the gastrointestinal bleeding treatment with endoscopic high frequency welding bipolar electrocoagulation

Journal Title: Хірургія України - Year 2019, Vol 0, Issue 1

Abstract

Problem of gastrointestinal bleeding treatment remains relevant, due to the high mortality. Endoscopic haemostasis reduces both general and postoperative mortality 3 — 4 times. There are a number of methods for endoscopic haemostasis: chemical, injectable, monopolar coagulation, argon plasma coagulation, laser coagulation and clapping. The aim — to substantiate experimentally and morphologically the use of high­frequency welding bipolar electrocoagulation with the EK­300M1 apparatus in gastrointestinal bleeding endoscopic treatment and introduce it into clinical practice. Materials and methods. An experimental study of a new local haemostasis method for bleeding vessels and erosions (patent N 124885 dated 25.04.2018, A method for treating patients with gastrointestinal bleeding) with morphological verification of the state of the vessels was done with experimental study on 10 pigs aged 5 — 7 years, weighing 85 — 100 kg. For high­frequency welding bipolar coagulation, two probes were used, connected to the EK­300 M1 apparatus in the overlap mode: 2.2 mm in diameter (patent N 115147 dated 04.04.2017) with a convex electrode (N 1) and 3.2 mm (modified) with a concave electrode (N 2). Results and discussion. It has been established that to stop bleeding from vessels with a diameter of up to 1 mm, it is most effective to use probe N 1 with an exposure time of 15 s; for vessels with a diameter of more than 1 mm­ probe N 2 with an exposure time of 30 s. Conclusions. High­frequency welding bipolar electrocoagulation has advantages over other methods of endoscopic haemostasis and can be recommended as the method of choice for the gastrointestinal.

Authors and Affiliations

P.  D. Fomin, S.  O. Oparin, O.  O. Dyadyk, Ya.  P. Feleshtinsky, B.  V. Sorokin, D.  V. Lutsenko

Keywords

Related Articles

Surgical treatment of Gottron’s carcinoide papillomatosis of the skin. Case study

The current case study has reported a successful surgical treatment of a 50‑years‑old female patient with Gottron’s carcinoid papillomatosis of the skin. The patient was hospitalized to the center of thermal trauma and p...

Experimental remodeling of vascular bed tissue for combined expanded perforator-based flaps obtaining

The aim — to study the effect of expansion on the vascular bed tissues remodeling to obtain the combined perforator-based flaps and to determine their survival in the experiment. Materials and methods. Experimental studi...

Yatrogenic ruptures of trachea

Described three cases of post-intubation rupture of the trachea. The choice of treatment method should be based on the period of diagnosis and a comprehensive assessment of the physical condition of the patient, data of...

Conservative therapy vs active surgical tactics in the treatment of patients with оrоstomas and pharyngostomas

The aim — to develop an integrated therapeutic algorithm and to evaluate its effectiveness for surgical treatment optimizing in patients with оrоstomas and pharyngostomas. Materials and methods. The treatment results of...

Rationale for port-site hernias prevention after laparoscopic cholecystectomy

The aim — to substantiate and develop methods for the paraumbilical port‑site hernias prevention area during laparoscopic cholecystectomy based on the morphological state of the aponeurosis and the paraumbilical area mus...

Download PDF file
  • EP ID EP564655
  • DOI 10.30978/SU2019-1-44
  • Views 135
  • Downloads 0

How To Cite

P.  D. Fomin, S.  O. Oparin, O.  O. Dyadyk, Ya.  P. Feleshtinsky, B.  V. Sorokin, D.  V. Lutsenko (2019). Experimental and clinical rationale for the gastrointestinal bleeding treatment with endoscopic high frequency welding bipolar electrocoagulation. Хірургія України, 0(1), 44-49. https://europub.co.uk/articles/-A-564655