Cutting Instruments

Monopolar electrosurgical instruments are generally used for cutting tissues during laparoscopic surgery. Straight or curved scissors (Fig. 5) and electrosurgical electrodes of various tip configurations (Fig. 6) are available for laparoscopic tissue cutting. Usually a setting of 55 W for coagulation and 35 W for cutting is employed. The shaft of these instruments is insulated to prevent thermal damage to adjacent structures. Keeping the tissues on stretch allows for precise and rapid cutting using monopolar electrosurgical instruments.

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