Quote:
Originally Posted by Mozgov
1. Were you ever involved in academics or solely private practice?
2. Based on your video, when you dissect and/or coagulate what intensity is the cautery at typically?
3. In females, are there any anatomical areas or nerves that are exposed to thermal trauma when you cauterize? (Analogous to NVBs in males)
Sorry for the abnormal questions.....I am a student who works for a surgeon who has done probably the most robotic prostatectomies to date. I'm working on a cautery manuscript and wanted to know if there are similarities between the specialties.
Cool video nonetheless, thanks for sharing.
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1. Only private practice
2. For the monopolar, 30 W cutting and 30 W coagulation waveform. Valley Lab Force Triad. Bipolar is 30 W also.
3. Not for simple hysterectomy, for radicals....the obturator nerve. But as a benign gynecologist, I'm never in that area. Also, can smoke some autonomic nerves too.
This video was made to illustrate the bipolar cutting instrument. I was one of the first GYNs to use this device. I made this video just to illustrate its use. I do proctor a fair number of cases and some of the surgeons find it helpful.
My preference is use a bipolar grasper (fenestrated maryland or the bipolar grasper) with the HotShears. I do not use the device in the video. By using three instruments (bipolar, scissors and needle driver) using a three port technique, I'm at $600 per case of instruments. Much cheaper than a $850 LigaSure Advance if doing straight stick laparoscopy. In my hands, robotics is cheaper than traditional laparoscopy.