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At least 127 records · Page 7Linked to original sources
PubMed1977

Diathermy to the trigone and urethra in the management of the female urethral syndrome.

The effects of diathermy to the trigone and upper urethra in the female urethral syndrome are compared with the effect of cystoscopy alone in the 27 cases. It is shown that the addition of diathermy gives superior results. The effects of such diathermy in the female urethral syndrome in 56 cases were reviewed by questionnaires 3 years later. 45% of the patients had had no further attacks and 90% thought that the treatment had been worth while.

Adolescent↗
PubMed1990

Loop diathermy excision of the cervical transformation zone in patients with abnormal cervical smears.

OBJECTIVE: To determine the efficacy and morbidity of fine loop diathermy excision of the cervical transformation zone as applied to the management of outpatients with abnormal cervical smears. DESIGN: Prospective programme trial with six month follow up. SETTING: Two hospital based colposcopy clinics. PATIENTS: 616 Patients aged 16-60 with abnormal cervical smears. INTERVENTIONS: After colposcopic and cytological assessment excision of the cervical transformation zone by fine loop diathermy under local anaesthesia in the outpatient department. MAIN OUTCOME MEASURES: Time to complete the treatment, immediate morbidity in terms of discomfort and bleeding, and cytological and colposcopic findings at six months. RESULTS: Treatment was completed in a mean of 3.47 minutes (SD 1.99). Immediate morbidity was minimal, and histological specimens were adequate in over 90% of cases. Almost two thirds of patients were treated at their first visit to the clinic. 58 Patients (9.4%) failed to attend for follow up at six months and one had had a hysterectomy. Of the 557 patients who attended for colposcopic and cytological follow up at six months, 506 (91%) were normal cytologically and 19 (3.4%) had histologically confirmed persistence of cervical intraepithelial neoplasia. The overall confirmed failure rate of the technique was 4.4%. CONCLUSION: Loop diathermy excision is an effective treatment with low morbidity and is an appropriate modality for patients with abnormal cervical smears.

Adolescent↗
PubMed1992

Scleral buckle with diathermy for simple retinal detachments. 100 pneumatic retinopexy eligible eyes.

One hundred consecutive pneumatic retinopexy eligible eyes underwent outpatient scleral buckle and diathermy. Follow-up averaged 31 months. Four cases required a second operation. Absence of an encircling band was the only significant risk factor (P = 0.00000028) for the three redetachments because of new or missed retinal tears. Although 18 patients had some other disease that reduced visual acuity before the retina detached, final visual acuity was 20/40 or better in 79 patients. Matched with a reported series treated by pneumatic retinopexy with cryopexy, these scleral buckle with diathermy cases exhibit significantly better final visual acuity with fewer major complications. The final acuity is also better than for two similar series, one treated with temporary balloon buckle and the second with scleral buckle and cryopexy. Use of diathermy rather than cryotherapy in the zone of retinal detachment may be the reason for the current group's better final acuity results.

Cryosurgery↗
PubMed1992

[Diathermy-induced gas explosion in the intestinal tract].

Surgical diathermy is widely used in modern operating rooms, although explosion in the gastrointestinal tract is a known serious complication. We report a case of colonic explosion following use of diathermy. Based on our experience and the available data, it is recommended that in cases of gastrointestinal tract obstruction, poor bowel preparation or following use of oral mannitol for bowel preparation, diathermy should be avoided in opening the gastrointestinal lumen.

Aged↗
PubMedDate not supplied

Frequency of post-tonsillectomy haemorrhage following tonsillectomy with bipolar diathermy--an experience at Ayub Teaching Hospital, Abbottabad.

BACKGROUND: Tonsillectomy remains one of the most common surgical procedures performed in the world. Various techniques have evolved over the years. One of the most significant complications is postoperative hemorrhage. There is a general perception of increased frequency of PTH with the clectro-cautery technique. A prospective study was designed to determine the frequency of post-tonsillectomy haemorrhage (PTH) following tonsillectomy with bipolar diathermy at ENT department. Ayub Medical College & Teaching Hospital, Abbottabad. METHOD: 246 patients of varying ages and both sexes were operated by the same consultant using bipolar diathermy, during the period of April'2001 to March'2003. All the patients had antibiotic prophylaxis and analgesia on regular basis. Patients were hospitalized for 24-48 hours and were reviewed after one week. RESULTS: 9 (3.6%) patients presented with PTH. These presented between day 3 and 11.4(1.6%) presented with active bleeding, 3(1.2%) presented with clot in the tonsillar fossa and 2(0.8%) had a history of bleeding per-orally at home but did not have evidence of bleeding on arrival. All the patients were hospitalized and treated with a broad spectrum intravenous antibiotic, parenteral analgesia and intravenous fluids. None of the patients needed surgical intervention. CONCLUSION: Tonsillectomy with bipolar diathermy doesn't carry risk of PTH different from other standard techniques. It has the added benefit of minimal per-operative bleeding which bears significance in paediatric population. However adequate training in its use is mandatory to avoid thermal damage to the tissues.

Academic Medical Centers↗
PubMed1990

Loop diathermy cone biopsy.

A technique for cone biopsy using loop diathermy is presented. The diathermy loop consists of an insulated shaft attached to an insulated transverse or U-shaped arm, to which the loop wire is attached. The diathermy power is supplied by an electrosurgical unit. Among the first 50 cases, the mean age was 41.6 years; 72% of the cases were reported as cervical intraepithelial neoplasia III and 6% as microinvasive carcinoma. The mean length of the cone was 20.2 mm and the mean weight 3.9 g. Only 10% of the cones were reported as incompletely excised. No major complications were observed, and minor complications were reported in four patients (8%). We found this technique to be quick, simple, and economical. It provides a good histologic specimen with a low incidence of short-term morbidity.

Adult↗
PubMed1984

[Comparative study of the treatment of cervical dysplasias with the CO2 laser and electroresection with the diathermy loop].

The authors compared CO2 laser and the diathermy loop in the ambulatory treatment of 192 cases of cervical dysplasia. Clinical results were essentially equivalent (94.7% and 94.2% success rate respectively for laser and diathermy loop). When comparing the advantages and disadvantages of each technique, even though electroresection using the diathermy loop is a reliable method available to everyone, the ease in handling, exact precision, and comfort of laser render it the preferred method of treatment for cervicovaginal pathology in spite of its greater expense.

Adolescent↗
PubMedDate not supplied

[Is wound healing modified by the use of diathermy incision (author's transl)].

Many surgeons are hesitant to use the electrocautery on the gastrointestinal tract. The aim of the present study is to compare, with mechanical and histological criteria, wound healing following abdominal and gastric incisions made by scalpel and diathermy, in the rat. This study revealed no difference in bursting pressure between scalpel and diathermy incisions. Histologically there is not a delay in healing in the gastrointestinal tract following electroincision. It is concluded that in abdominal surgery the diathermy can be used without detriment to the strength of any suture line and with no difference in its final healing.

Abdomen↗
PubMed1993

Circular continuous anterior capsulotomy with high frequency diathermy.

Recently a new device (Klöti) has been commercialized which is able to cut the anterior lens capsule by high frequency (HF) diathermy without coagulating or tearing. The method is easy to learn. The properties of a continuous circular anterior capsulotomy performed thereby resemble those of a continuous circular capsulorhexis. In 48 consecutive cases with a follow up of more than 15 months we found no significant difference between rhexis and HF diathermy capsulotomy as far as rigidity or elasticity of the anterior capsular opening is concerned. There was also no difference between HF diathermy and conventional capsulotomy regarding corneal decompensation, posterior synechiae or lens decentration.

Cataract Extraction↗
PubMed1989

Gas explosion during diathermy gastrotomy.

The first report of rupture of the stomach due to diathermy-elicited gas explosion during gastrotomy in a patient with intestinal ischemia resulting in obstruction and jejunal and gastric dilatation is presented. In the obstructed stomach or small bowel, a proliferation of hydrogen- and methane-producing bacteria can occur, leading to the accumulation of these combustible gases in explosive concentrations. In cases of gastrointestinal tract obstruction, the diathermy knife should not be used in entering the gastrointestinal lumen.

Diathermy↗
PubMed1997

Branch retinal artery occlusion by diathermy of a persistent hyaloid artery.

PURPOSE: To report branch retinal artery occlusion caused by diathermy of a persistent hyaloid artery. METHODS: Case report. A 21-year-old woman with unilateral tractional retinal detachment caused by contraction of the persistent primary vitreous underwent vitrectomy with endocoagulation of the primary hyaloid artery. RESULTS: Postoperatively, the patient had opacification of the neurosensory retina in the area of the inferotemporal branch retinal artery accompanied by a corresponding visual field defect. CONCLUSIONS: Diathermy of a persistent hyaloid artery may be complicated by the occlusion of a branch retinal artery. In similar cases, atypical branches of retinal arteries must be considered. Dissection of the anomaly from the posterior lens capsule should be performed without coagulation or perhaps endoscopically if visualization is obscured by a Mittendorf dot.

Adult↗
PubMed2003

Repeated laparoscopic ovarian diathermy is effective in women with anovulatory infertility due to polycystic ovary syndrome.

OBJECTIVE: To assess the effectiveness of a second laparoscopic ovarian diathermy (LOD) in women with polycystic ovary syndrome (PCOS). DESIGN: Retrospective study. SETTING: Tertiary infertility clinic. PATIENT(S): Twenty anovulatory infertile women with PCOS who underwent LOD 1-6 years previously. Twelve subjects had previously responded positively to the first LOD, but the anovulatory status recurred (Group I), whereas eight subjects had not responded at all (Group II). INTERVENTION(S): Laparoscopic ovarian diathermy. MAIN OUTCOME MEASURE(S): Rates of ovulation, pregnancy and resumption of menstrual regularity, and biochemical changes. RESULT(S): An overall ovulation rate of 12 out of 20 women (60%) and a pregnancy rate of 10 out of 19 (53%) were achieved after the second LOD. In women (n = 12) who previously responded positively to the first LOD (LOD-sensitive), the ovulation and pregnancy rates were 10 out of 12 (83%) and 8 out of 12 women (67%), respectively, which were significantly (P<.05) higher than 2 out of 8 (25%) and 2 out of 7 (29%) of the previous nonresponders (LOD-resistant). Statistically significant hormonal changes including reduction of luteinizing hormone (LH), testosterone (T), and free androgen index (FAI) after the repeat LOD were only observed in the LOD-sensitive group. CONCLUSION(S): Repeat LOD is highly effective in women who previously responded to the first procedure.

Adult↗
PubMed1985

A reduced incidence of cystoid macular edema following retinal detachment surgery using diathermy.

Cystoid macular edema (CME) is recognized as an important cause of decreased visual acuity following successful retinal detachment surgery. Postoperative fluorescein angiographic studies suggest an incidence of up to 28% in phakic patients, and 50% in aphakic cases. Cryotherapy was used with scleral buckling in all these previous studies. In the series reported here, diathermy with scleral buckling was used to reattach the retina. In 126 phakic eyes the incidence of CME was 5.6% (7 cases). This is the lowest incidence reported in any series. We attribute these results to reduced intraocular inflammation using diathermy as compared to cryotherapy.

Aged↗
PubMed1997

Complications in the use of diathermy.

Electrical burns in diathermy rarely occur but are not always recognized as such or thoroughly investigated. The literature has proved to be very sparse in terms of reference to complications, although prolonged courses of treatment are required in individual cases. This paper analyses and discusses the problems of burns associated with diathermy that occurred in seven patients.

Adult↗
PubMed1992

Bipolar diathermy or ligation for haemostasis in tonsillectomy? A prospective study on post-operative pain.

Forty-nine children for tonsillectomy were entered in a prospective controlled single blind study to compare the post-tonsillectomy morbidity of bipolar diathermy as opposed to ligation for haemostasis. We found no significant difference in post-operative discomfort nor reactionary or secondary haemorrhage in the two methods used. This is the first controlled trial where bipolar, rather than unipolar diathermy is used, and compared with ligation in the operation of tonsillectomy.

Child↗
PubMed2003

Endoscopic bipolar diathermy in the management of epistaxis: an effective and cost-efficient treatment.

Epistaxis is one of the most frequently managed otorhinolaryngological emergencies. This prospective study over a 4-month period involved 38 adult patients presenting with epistaxis who underwent endoscopic bipolar diathermy under local anaesthesia. Thirty-four (89%) of the 38 adults were successfully treated and 28 (74%) of the patients did not require admission. Based on a simple cost-benefit analysis of savings made by avoiding admission, successful immediate treatment of these 28 patients led to a potential saving of at least pound 6804.00. We conclude endoscopic bipolar diathermy under local anaesthesia is an effective, safe and cost-efficient modality of treatment in the management of adult epistaxis.

Adult↗
PubMed2001

Does laparoscopic ovarian diathermy affect the outcome of IVF-embryo transfer in women with polycystic ovarian syndrome? A retrospective comparative study.

Controlled ovarian stimulation for IVF and embryo transfer and outcome parameters were compared retrospectively in 31 women with clomiphene-resistant polycystic ovarian syndrome (PCOS). Of these women, 15 had previously undergone laparoscopic ovarian diathermy before IVF (group A, total 22 cycles) and 16 had not had surgical treatment (group B, total 24 cycles). No statistically significant differences were observed in the number of oocytes retrieved, although the number of embryos available for transfer was significantly higher in group B (7.1 +/- 3.8 versus 4.6 +/- 2.7, P < 0.01). The clinical pregnancy rate per embryo transfer appeared to be higher in group B (63.2 versus 41.2%), as did the miscarriage rate (66.7 versus 28.6%), giving an apparent improved ongoing pregnancy rate per embryo transfer in group A (29.4 versus 10.5%), but this was not statistically significantly different. The incidence of severe ovarian hyperstimulation syndrome (OHSS) was apparently higher in group B (4.2 versus 0%), but this difference was not statistically significant. No cases of severe OHSS were seen in group A. Ovarian diathermy does not appear to have a deleterious effect on controlled ovarian stimulation, and the outcome of IVF-embryo transfer may be beneficial in decreasing the risk of severe OHSS and improving the ongoing clinical pregnancy rate.

Adult↗