Intermediate
Technical
IVT
bipolar electrocautery
Electrosurgical technique where current flows between two electrodes on the same instrument, providing precise tissue coagulation with reduced thermal spread.
Full Definition
A form of electrosurgery used in minimally invasive procedures where electrical current flows between two electrodes located on the same instrument, typically forceps. This configuration allows for precise tissue coagulation and cutting while minimizing thermal damage to surrounding structures. Bipolar electrocautery is preferred over monopolar techniques when working near vital structures or in confined spaces typical of laparoscopic surgery.
Usage
Usage note: Always specify 'bipolar' when describing electrocautery technique to distinguish from monopolar methods.
In Context
- "The surgeon used bipolar electrocautery to achieve hemostasis without damaging the adjacent ureter." — Operative report
- "Bipolar electrocautery settings should be documented in the procedure note." — Clinical documentation
Also known as
bipolar diathermy
bipolar coagulation
Contrasted with
monopolar electrocautery
Don't confuse with
monopolar electrocautery
ultrasonic energy