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monopolar electrocautery

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monopolar electrocautery,
an electrocautery in which current is applied through a handheld active electrode and travels back to the generator through an inactive electrode attached to the patient (the grounding pad), so that the patient is part of the electrical circuit. Also called unipolar electrocautery.
electrocautery [e-lek″tro-kaw´ter-e]
1. an apparatus for surgical dissection and hemostasis, using heat generated by a high-voltage, high-frequency alternating current passed through an electrode.
2. the cauterization of tissue using such an instrument.
bipolar electrocautery an electrocautery in which both active and return electrodes are incorporated into a single handheld instrument, so that the current passes between the tips of the two electrodes and affects only a small amount of tissue.
monopolar electrocautery (unipolar electrocautery) an electrocautery in which current is applied through a handheld active electrode and travels back to the generator through an inactive electrode attached to the patient (the grounding pad), so that the patient is part of the electrical circuit.
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4) However, Sobol et al observed no difference in postoperative pain between children who underwent microdebrider intracapsular tonsillotomyor monopolar electrocautery tonsillectomy; also, there was no significant difference in the total number of days before patients returned to normal activity, although there was a significant difference in favor of microdebrider tonsillectomy in the return to a normal diet.
Intraoperative bupivacaine for reduction of post-tonsillectomy pain: ... by Watts, Tammara L.; Kountakis, Stilianos E. / Ear, Nose and Throat Journal
Blood loss was greatest for monopolar electrocautery (either flat blade or suction tip), argon plasma coagulator, and cold steel.
Tonsillectomy using the Colorado microdissection needle: a ... by Shaw, Gary Y. / Southern Medical Journal
In fact, monopolar electrocautery dissection is one of the most common procedures in use today.
Harmonic scalpel tonsillectomy versus hot electrocautery and cold ... by Haupert, Michael / Ear, Nose and Throat Journal
 
 
 
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