Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study
Objective:Monopolar electrocautery (MEC) or bipolar electrocautery (BEC) are surgical instruments commonly used in spinal surgery. Our study aimed to determine the bowel end pathologies induced by sacral parasympathetic network degeneration due to the use of MEC or BEC in spinal surgery.Method:Twent...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-12-01
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| Series: | Bagcilar Medical Bulletin |
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http://behmedicalbulletin.org/archives/archive-detail/article-preview/bowel-pathologies-caused-by-the-use-of-electrocaut/50456
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| _version_ | 1797919835337785344 |
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| author | Mehmet Kürşat Karadağ Ahmet Yardım Aslıhan Alpaslan Mehmet Dumlu Aydın |
| author_facet | Mehmet Kürşat Karadağ Ahmet Yardım Aslıhan Alpaslan Mehmet Dumlu Aydın |
| author_sort | Mehmet Kürşat Karadağ |
| collection | DOAJ |
| description | Objective:Monopolar electrocautery (MEC) or bipolar electrocautery (BEC) are surgical instruments commonly used in spinal surgery. Our study aimed to determine the bowel end pathologies induced by sacral parasympathetic network degeneration due to the use of MEC or BEC in spinal surgery.Method:Twenty male hybrid rabbits were used in the study, including 5 in the control group, 7 in the BEC group, and 8 in the MEC group. We used the thoracic vertebra 11-lumbar vertebra 2 (T11-L2) spinal laminectomy for the operation technique. After one week, the animals’ abdominal organs were examined on computerized tomography, and then the animals were sacrificed. The descending colon and Onuf’s nucleus/S4 spinal ganglia were histopathologically examined. The colonic degeneration scores were numbered as follows: Normal (0P), vasospasm (1P), endothelial injury (2P), thrombus (3P), colonic wall injury (4P), inflammation (5P), colonic mucosal degeneration (6P), Auerbach myenteric ganglion degeneration (7P), and necrosis (8P). The groups were scored according to 36 points, and the results were compared with the number of degenerated pudendal ganglion neurons.Results:The mean numbers of normal neurons/degenerated neurons were 22.610±962/5±2, 21.617±890/103±21, and 16.692±641/345±62 in the control, BEC, and MEC groups, respectively. The colonic degeneration score was <8 points in the control group, 9-30 points in the BEC group, and >31 points in the MEC group. Our results were statistically significant (p<0.05 for all).Conclusion:In this study, we have found that high-voltage electrical devices such as MEC/BEC may cause bowel pathologies due to their harmful effects on the Adamkiewicz artery/sacral parasympathetic network and should not be used in spinal surgery unless necessary. |
| first_indexed | 2024-04-10T13:51:44Z |
| format | Article |
| id | doaj.art-1be22cb867bc45f0837ce6a6933b87d5 |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T13:51:44Z |
| publishDate | 2021-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-1be22cb867bc45f0837ce6a6933b87d52023-02-15T16:10:39ZengGalenos YayineviBagcilar Medical Bulletin2547-94312021-12-016440741210.4274/BMB.galenos.2021.01.01713049054Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental StudyMehmet Kürşat Karadağ0Ahmet Yardım1Aslıhan Alpaslan2Mehmet Dumlu Aydın3 Atatürk University Faculty of Medicine, Department of Neurosurgery, Erzurum, Turkey Aksaray University Faculty of Medicine, Department of Neurosurgery, Aksaray, Turkey Giresun University Faculty of Medicine, Department of Pahtology, Giresun, Turkey Atatürk University Faculty of Medicine, Department of Neurosurgery, Erzurum, Turkey Objective:Monopolar electrocautery (MEC) or bipolar electrocautery (BEC) are surgical instruments commonly used in spinal surgery. Our study aimed to determine the bowel end pathologies induced by sacral parasympathetic network degeneration due to the use of MEC or BEC in spinal surgery.Method:Twenty male hybrid rabbits were used in the study, including 5 in the control group, 7 in the BEC group, and 8 in the MEC group. We used the thoracic vertebra 11-lumbar vertebra 2 (T11-L2) spinal laminectomy for the operation technique. After one week, the animals’ abdominal organs were examined on computerized tomography, and then the animals were sacrificed. The descending colon and Onuf’s nucleus/S4 spinal ganglia were histopathologically examined. The colonic degeneration scores were numbered as follows: Normal (0P), vasospasm (1P), endothelial injury (2P), thrombus (3P), colonic wall injury (4P), inflammation (5P), colonic mucosal degeneration (6P), Auerbach myenteric ganglion degeneration (7P), and necrosis (8P). The groups were scored according to 36 points, and the results were compared with the number of degenerated pudendal ganglion neurons.Results:The mean numbers of normal neurons/degenerated neurons were 22.610±962/5±2, 21.617±890/103±21, and 16.692±641/345±62 in the control, BEC, and MEC groups, respectively. The colonic degeneration score was <8 points in the control group, 9-30 points in the BEC group, and >31 points in the MEC group. Our results were statistically significant (p<0.05 for all).Conclusion:In this study, we have found that high-voltage electrical devices such as MEC/BEC may cause bowel pathologies due to their harmful effects on the Adamkiewicz artery/sacral parasympathetic network and should not be used in spinal surgery unless necessary. http://behmedicalbulletin.org/archives/archive-detail/article-preview/bowel-pathologies-caused-by-the-use-of-electrocaut/50456 electrocauterizationfacet denervationneuronal injuryrabbitspinal surgery |
| spellingShingle | Mehmet Kürşat Karadağ Ahmet Yardım Aslıhan Alpaslan Mehmet Dumlu Aydın Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study Bagcilar Medical Bulletin electrocauterization facet denervation neuronal injury rabbit spinal surgery |
| title | Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study |
| title_full | Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study |
| title_fullStr | Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study |
| title_full_unstemmed | Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study |
| title_short | Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study |
| title_sort | bowel pathologies caused by the use of electrocautery knife in spinal surgery with facet denervation the first experimental study |
| topic | electrocauterization facet denervation neuronal injury rabbit spinal surgery |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/bowel-pathologies-caused-by-the-use-of-electrocaut/50456
|
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