PubMed · 8949023
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H Leyh. 1996. [Transurethral prostate electroresection].. https://pubmed.ncbi.nlm.nih.gov/8949023/
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BACKGROUND: Radiofrequency resurfacing is a new technology for ablative facial resurfacing. OBJECTIVES: To evaluate the efficacy of radiofrequency resurfacing in reduction of perioral and periorbital rhytides, and to assess it's effects on collagen remodeling by electron microscopic evaluation. RESULTS: Fourteen of the fifteen subjects (93%) were 100% re-epithelialized by day 7. All 15 patients (100%) had resolution of post-treatment erythema by 3 months. Clinical investigator assessment evaluation revealed mild to moderate improvement in 100% of patients. Histologic changes were consistent with new upper papillary dermal collagen formation. Post-treatment ultrastuctural changes showed either new Type III or mature Type I collagen formation. CONCLUSIONS: Radiofrequency resurfacing is an effective ablative resurfacing method for mild to moderate improvement of Fitzpatrick Type I-III rhytides. It is a low risk procedure with potentially shorter periods of post-operative re-epithelialization and erythema as compared to standard ablative laser procedures.
Surgical fires--fires that occur on or in a surgical patient--are a rare but devastating complication of surgical procedures. They can happen during almost any kind of operation and can have dire consequences for both the patient and the hospital. The risk of surgical fires can be minimized as long as everyone on the surgical team understands how fires start and what to do when they occur. It's important to recognize the interaction among ignition sources, oxidizers, and fuels--the three sides of the classic fire triangle. What's more, staff members need to be alert to "hidden" fire risks, such as unsuspected oxygen-enriched atmospheres and less-than-obvious fuels. They also need to be drilled in the correct steps for responding to fires. In this guide, we describe the elements of surgical fires, including the types of equipment and materials that make up each side of the fire triangle. Through a series of case histories, we illustrate the many ways in which fires can start in the operating room. We also provide a detailed list of prevention methods. Finally, we describe the steps to take and the equipment to use--and not use--when a fire does occur.
The dermal electrosurgical shave excision is a fast and inexpensive method of removing epidermal and dermal lesions. The procedure is ideally suited for pedunculated lesions raised above the level of the surrounding skin. It consists of repetitive, unidirectional, horizontal slicing of a cutaneous lesion with a no. 15 blade followed by electrosurgical feathering to smooth out the wound edges. A smoke evacuator is used during electrosurgery to prevent inhalation of heat-disseminated viral particles. The procedure is followed by histologic evaluation of the shaved specimen. Suspicious pigmented lesions should not be shaved because the long-term prognosis of a malignancy may depend on the thickness of the lesion on histologic analysis. Administration of adequate local anesthesia should make this a painless procedure. Basic general surgery skills are required, and formal training in electrosurgery is highly recommended.