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One of the trickiest things any surgeon has to deal with is loss of blood. It’s bad for the patient, it’s messy and it makes operations difficult because the surgeon can’t see what’s going on.
Developed in Scotland in the 1990s as a joint venture by Ninewells Hospital, Dundee, and the company Ethicon Ltd., Bipolar Scissors cut and seal a wound at the same time, minimising blood loss.
Bipolar Scissors are now widely available as surgical instruments, suitable for many simple surgical procedures such as tonsillectomy as well as circumcision. However, their use precludes simultaneous use of many other instruments. Anything that might conduct the high frequency alternating current of electrosurgery apparatus must be avoided. |
Bipolar Scissors appear to have a particular application in circumcision procedures where removal of the frenulum has been specified. Most designs of circumcision clamp do not reliably remove the frenulum; prior removal by a technique that does not swamp the area with blood loss has much to recommend it. The frenulum can be excised first and application of the chosen type of clamp can follow immediately.
Now it is known that the frenulum contains one of the body’s highest concentrations of Langerhans cells, removal of the frenulum may become more commonplace because, theoretically, the degree of HIV prophylaxis conferred should be greater.
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