Electrosurgery: Pitfalls and recommendations

Abstract

Purpose: In spite of the fact that the electrosurgical unit is the most frequently used energy source in the operating room, it is probably the one least understood by the operating room personnel, including the physicians. This study was performed to develop a conceptual understanding of some basic principles concerning the adept use of electrosurgery instruments. Materials and Methods: We documented all electrosurgery injuries occurring in our operating rooms over the previous 20 months. We analyzed the injuries, and revealed causative factors and preventive measures to minimize these injuries. Results: We encountered 12 electrosurgery injuries, six of which were glove bites suffered by the surgeons. Six of the injuries were different electrosurgery complications experienced by the patients, two of which were eventually fatal. Conclusion: Electrosurgery injuries in the operating room are infrequent, but we think that the issue deserves attention, because basic electrosurgical principles are important for appropriate, effective and safe use of the instruments and the prevention of stray current injuries. It is recognized that simple precautions would sufficiently eradicate injuries caused by electrosurgery.