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WJOLS
An Improved Bipolar Cautery with Scissors for Laparoscopic Surgery with Additional Feature
ORIGINAL ARTICLE
An Improved Bipolar Cautery with Scissors for

Laparoscopic Surgery with Additional Feature

Shelar Sharad Shivdas

Sushrut Maternity and Surgical Nursing Home, Miraroad, Thane, Maharashtra, India
Correspondence: Shelar Sharad Shivdas, Sushrut Maternity and Surgical Nursing Home, Miraroad, Thane, Maharashtra-
401107, India, e-mail: sharad_shelar01@yahoo.co.in

Abstract
Background: In laparoscopic surgery, usually a vascular pedicle or a tissue to be cut is first coagulated and later cut by scissors
separately. Here the author has created an instrument with dual function of hemostasis as well as cutting without changing the
instruments.
Methods: The author has used the described instrument for comparision in 16 laparoscopic appendicectomy and 14 laparoscopic
hysterectomy. Here the parameter was time required for only cauterization and subsiquent cutting. Appendix was ligated by Meltzers
knot.
Keywords: Laparoscopic bipolar cautery forceps with scissors.

LAPAROSCOPIC APPENDICECTOMY compartment consists of bipolar unit which is fixed type
Bipolar cautery with scissors, 7 cases were performed: 4, 5, while the inferior compartment consists of scissor which
is sliding type. The instrument is passed through 10 mm
7, 6.5, 4, 6 minutes. Average time required: 5 minutes.
cannula. The tissue to be cauterized is held between the
Conventional Bipolar cautery forceps and scissors used
jaws of bipolar forceps and coagulated. After adequate effect
separately. Nine cases were performed: 14, 10, 12, 14, 11,
16, 13, 24, and 13 minutes. Average time required: 13 minutes.
LAPAROSCOPIC HYSTERECTOMY
Bipolar cautery with scissors, 6 cases were performed: 10,
12, 14, 10, 15, 13 minutes. Average time required: 12
minutes. Conventional Bipolar cautery forceps and scissors
used separately 8 cases were performed: 23, 31, 28, 31,
21, 35, 25, 30 minutes. Average time required: 28 minutes.
Thus there was less than 50% of time required with
new instrument for the coagulation as well as cutting and
indirectly the duration of surgery. In conventional method,
the time is wasted in removal and introduction of instrument
Fig. 1: Bipolar with scissors instrument
one by one. A significant amount of CO is leaked through
2
the port. Repeatedly introduction of instruments may create
inconvenience to surgeon and occasionally may cause
trauma to internal organs.

DESIGN AND FUNCTIONING
In close association with Jyoti Engineering, Vasai, the bipolar
cautery forceps with scissors was developed (Fig. 1). The
instrument is made up of stainless steel and contains two
compartments (Fig. 2).
The main instrument is 10 mm sheath with length of 30
cm while hand operating part is 10 cm.The superior Fig. 2: Bipolar with hidden scissors
World Journal of Laparoscopic Surgery, January-April 2010;3(1):37-39 37