Dr Brill: Probably no surgical instrument defines the gynecologist more than the Kleppinger forceps, the first bipolar device used for tubal ligation. It remains an important part of our armamentarium despite thermal spread, smoke, char, tissue sticking, and inconsistent hemostasis,1-5 shortcomings that have led to the development of newer bipolar electrosurgical devices—the LigaSure™ Vessel Sealing System, PlasmaKinetic (PK) platform, and ENSEAL®. These energy-based surgical devices offer added functionality—coagulation and cutting in a single instrument—as well as increased efficiency. These instruments offer specific features that appeal to gynecologic surgeons who have different needs and preferences. Ultrasonic energy technology has also advanced significantly, with instruments such as the Harmonic ACE®, which both cuts and coagulates at the point of impact for use in soft-tissue incisions and transections.
Advanced energy systems for laparoscopic gynecology procedures
Andrew I. Brill, MD
Director of Minimally Invasive Gynecology
California Pacific Medical Center
San Francisco, California
John D. Bertrand, MD
Minimally Invasive Surgery
Texas Health Dallas
Walnut Hill OB/GYN Associates
Steven D. McCarus, MD
Chief, Division of Gynecologic Surgery
Director, The Center for Pelvic Health
Florida Hospital Cenebration
Dr Bertrand: reports that he serves as a consultant to Ethicon Endo-Surgery & Women’s Health and American Medical Systems. He serves on the speakers bureaus of Johnson & Johnson, Ethicon Endo-Surgery & Women’s Health, American Medical Systems, and Olympus. He also has a financial relationship with Warner Chilcott.
Dr Brill reports that he serves as a consultant to and is on the speakers bureaus for Ethicon, Karl Storz, and Conceptus.
Dr McCarus serves as a consultant to Ethicon Endo-Surgery, Inc.
Multifunctional technology yields reliable outcomes, enhances patient safety, and increases procedure efficiency