Electrophysical properties of electrosurgery and capacitive induced current

Am J Surg. 2001 Sep;182(3):222-5. doi: 10.1016/s0002-9610(01)00712-7.

Abstract

Background: Although electrosurgery is one of the most commonly used technologies in the operating room, its electrophysical properties, including the potential for complications, are poorly understood by many surgeons.

Methods: We describe the experimental simulation of a highly unusual complication that occurred during a surgical procedure requiring concurrent use of monopolar and bipolar electrosurgery.

Results: Capacitive induced current from an activated monopolar electrode to the bipolar cord was reproduced and consistently led to full-thickness burns in our experiments.

Conclusions: Surgeons should be familiar with the principles of electrosurgery, its electrophysical properties, and possible complications.

MeSH terms

  • Burns, Electric / etiology*
  • Electrodes
  • Electrophysiology
  • Electrosurgery / adverse effects*
  • Humans