Coagulating Technique; Technique Guidance - Cooper Surgical LEEP PRECISION LP-20-120 Manual De Funcionamiento

Note the appearance of the tissue, which should appear blanched . Turn the power intensity up step by step,
repeating the procedure . Observe the characteristics of the coagulated tissue with each setting . The degree of
coagulation obtained at a particular setting will vary with different tissue and different conditions . Determine which
setting is best for various procedures . When treating any condition, if proper coagulation is not apparent after one
application, immediately increase the intensity setting if the Patient Return Electrode is properly in place .
Never repeatedly apply the current to the same area; this may create heat and seriously damage underlying
tissues .

8.6 Coagulating Technique

The Ball Electrode is useful for controlling hemorrhage . When applied for a second or two, electronic
coagulation current will coagulate small capillaries easily . Larger vessels can be picked up with hemostats, which
in turn may be touched by the Ball Electrode using electronically generated current . This will seal all vessels that
are held in the tips of the forceps .
Always make contact with the tissue before depressing the Foot Switch or Hand Switch when using the
coagulation current .

8.7 Technique Guidance

8.7.1 For OB/GYN Procedures
1 . The endocervix may not be included in the loop excision, and the results of endocervical curettage
(ECC) may not be predictive of either residual or invasive disease after loop excision procedures . If the
ECC is positive for dysplasia, a standard cone biopsy should be considered .
2 . Loop Electrosurgical Excision Procedures performed with small diameter wire Loop Electrodes produce
multiple small pieces of cervical tissue and may provide a less acceptable tissue specimen for
histopathologic analysis .
3 . Larger lesions involving multiple quadrants of the cervix are more difficult to remove with Loop
Electrodes .
8.7.2 For Severed Vessels
1 . Clamp the bleeder with a hemostat .
2 . Using electronically generated current, touch a Ball Electrode to any part of the hemostat .
3 . Depress the Foot Switch Pedal to activate the current for several seconds, then release the Pedal and
remove the electrode . Be sure the current is set as high as is necessary to achieve coagulation .
4 . After the application of coagulating current, remove the hemostat . Bleeding should have stopped; if not,
repeat the procedure . Suture ligation may be required if R/F is unsuccessful .
5 . When using electronically generated current, it is safe to hold the hemostat in a gloved hand while
holding the electrode handle in the other during this procedure .
8.7.3 For Anesthesia
Adequate anesthesia is indicated for all electrosurgical procedures . It is usually advisable to anesthetize
tissue adjacent to the intended operative site in the event it becomes necessary to extend the operative
area .
CAUTION
NOTE
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