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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1990-11-7
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pubmed:abstractText |
The energy required and tissue damage in bipolar and monopolar polypectomy snares were compared in a canine model. The bipolar snare required an average of 34 joules of energy, whereas the monopolar snare required 228 joules to cut the same diameter of gastric mucosa tended into a polypoid structure (p = 0.0005). The reduced energy delivered to the tissue from the bipolar procedure resulted in only 32% average depth of damage to the underlying gastric wall, whereas the monopolar procedure caused an average 69% (p = 0.001). Surgically created polyps required 247 joules and 69 joules for corresponding monopolar and bipolar polypectomy (p = 0.001). The decreased energy required and the correspondingly reduced damage caused to the underlying bowel wall by the bipolar snare should reduce the incidence of perforation and post-polypectomy syndrome. The bipolar snare completes a local circuit about the snare, eliminating the return electrode and, consequently, the possibility of any return electrode burns. The bipolar snare thus provides an added safety margin during polypectomy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0002-9270
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1386-90
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2220733-Animals,
pubmed-meshheading:2220733-Dogs,
pubmed-meshheading:2220733-Electrodes,
pubmed-meshheading:2220733-Electrosurgery,
pubmed-meshheading:2220733-Equipment Design,
pubmed-meshheading:2220733-Evaluation Studies as Topic,
pubmed-meshheading:2220733-Intestinal Neoplasms,
pubmed-meshheading:2220733-Intestinal Polyps
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pubmed:year |
1990
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pubmed:articleTitle |
In vivo evaluation of monopolar versus bipolar electrosurgical polypectomy snares.
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pubmed:affiliation |
Department of Pathology, University of Iowa Hospitals & Clinics, Iowa City.
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pubmed:publicationType |
Journal Article
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