World Journal of Laparoscopic Surgery

Register      Login

VOLUME 9 , ISSUE 3 ( September-December, 2016 ) > List of Articles


Perspective of Electrosurgical Sources in Minimal Access Surgery

JS Chowhan

Citation Information : Chowhan J. Perspective of Electrosurgical Sources in Minimal Access Surgery. World J Lap Surg 2016; 9 (3):130-137.

DOI: 10.5005/jp-journals-10033-1290

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2016; The Author(s).



There are devices that apply energy to cut, coagulate, and desiccate the tissue with minimal bleeding and by overcoming the hindrance of laparoscopy facilitate minimal access surgery. The inappropriate utilization of electrosurgical devices may expand horrible morbidity and mortality. The present article surveys different electrosurgical sources as far as their basic uses and safe practices.


The aim of this review is to discuss about various types of available energy sources, their biophysics, their tissue effects, and complications. It also emphasizes the advantages and disadvantages of these electrosurgical devices and the need for learning required with them.

Materials and methods

With the end goal of this review, a general pursuit was led through NCBI, SpringerLink, and Google. Articles depicting laparoscopic or minimally access surgeries utilizing single or different energy sources were considered, in addition to articles contrasting different marketed energy devices in lab settings. Keywords, such as laparoscopy, vitality, laser, electrosurgery, monopolar, bipolar, harmonic, ultrasonic, and difficulties were utilized as a part of the search.


The authors in this review of the literature likewise accentuate on the unprejudiced learning of all the energy devices before using them. It also shows that the performance of the energy devices depends upon the type of effect needed. There is no accord as to which device is ideal for a given purpose. The specialized expertise level of the specialist and the learning about the device are both critical variables in choosing safe results.


To defeat the deceptions of laparoscopic hemostasis and cutting, electrosurgery has turned out as an imaginative innovation. It has made the life of an expert simple. Be that as it may, everything accompanies its own burdens. Electrosurgery also has its own disadvantages and complexities. The utilization of electrosurgery ought to be constrained just for spots where essential. An expert ought to try to know totally about the device he/she is utilizing and ought not to be driven by marketing companies.

How to cite this article

Lekhi A, Chowhan JS, Mishra RK. Perspective of Electrosurgical Sources in Minimal Access Surgery. World J Lap Surg 2016;9(3):130-137.

PDF Share
  1. Principles and practical applications of electrosurgery in laparoscopy. J Minim Invasive Gynecol 2008 Nov;15(6):6S.
  2. Comparative studies of energy sources in gynecological laparoscopy. J Minim Invasive Gynecol 2013 May-Jun;20(3):308-318.
  3. Energy sources for gynecological laparoscopic surgery: A review of the literature. Obstet Gynecol Surv 2014 Dec;69(12):763-776.
  4. . [cited 24 July 2016]. Available from:
  5. History of power sources in endoscopic surgery. J Minim Invasive Gynecol 2013 May-Jun;20(3):271-278.
  6. Laparoscopic vessel sealing technologies. J Minim Invasive Gynecol 2013 May-Jun;20(3):301-307.
  7. Surgical complications specific to monopolar electrosurgical energy: Engineering changes that have made electrosurgery safer. J Minim Invasive Gynecol 2013 May-Jun;20(3):288-298.
  8. Bowel injury as a complication of laparoscopy. Br J Surg 2004 Oct;91(10):1253-1258.
  9. Complications of laparoscopic cholecystectomy: A national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 1993 Jan;165(1):9-14.
  10. Complications of electrosurgery in laparoscopy. Gynecol Minim Invasive Ther 2014;3(2):39-42.
  11. Active electrode monitoring. How to prevent unintentional thermal injury associated with monopolar electrosurgery at laparoscopy. Surg Endosc 1998 Aug;12(8):1009-1012.
  12. The evolutionary state of electrosurgery: Where are we now? Curr Opin Obstet Gynecol 2008 Aug;20(4):353-358.
  13. Electrosurgery. Curr Surg 2006 Nov-Dec;63(6):458-463.
  14. “Current thoughts” in electrosurgery. Int J Gynaecol Obstet 2007 Jun;97(3):245-450.
  15. Small bowel perforation from a thermal burn caused by contact with the end of a laparoscope during ovarian cystectomy. J Obstet Gynaecol Res 2006 Aug;32(4):434-436.
  16. Energy sources in laparoscopy. Semin Laparosc Surg 2004 Sep;11(3):201-209.
  17. Preventing electrosurgical energy-related injuries. Obstet Gynecol Clin North Am 2010 Sep;37(3):369-377.
  18. Single-use energy sources and operating room time for laparoscopic hysterectomy: A randomized controlled trial. J Minim Invasive Gynecol 2016 Jan;23(1):72-77.
  19. Comparison of the use of LigaSure, HALO PKS cutting forceps, and ENSEAL tissue sealer in total laparoscopic hysterectomy: A randomized trial. J Minim Invasive Gynecol 2014 Jul-Aug;21(4):650-655.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.