o Assess Pad Site Location
o Choose:
Well vascularized muscle mass
o Avoid:
Vascular insufficiency
Irregular body contours
Bony prominences
o Consider:
Incisionsite / prep area
Patient position
Other equipment on patient
To avoid complication of laparoscopic electrosurgery surgeon should always retain in their mind following points
o Inspect insulation carefully
o Use most favorable power setting
o Use a low voltage waveform (cut)
o Use brief intermittent activation vs. prolonged activation
o Don't activate in open circuit
o Do not activate in close proximity or direct connection with another instrument
o Use bipolar electrosurgery when appropriate
o Select an exciting metal cannula system since the safest choice. Do not use hybrid cannula systems that mix metal with plastic
o Utilize available technology, such as a tissue response generator to lessen capacitive coupling or an active electrode monitoring system, to eliminate concerns about insulation failure and capacitive coupling.
More Video Lectures
