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electrosurgery

Using high-frequency electric current through a handheld tool to cut tissue or seal bleeding vessels during surgery.

ee-LEK-troh-SUR-jer-ee noun

What it means

A standard surgical technique run from an electrosurgical unit (ESU), often called "the Bovie". In monopolar electrosurgery the current passes from the active tip through the patient's body to a dispersive (return) pad on the skin and back to the machine. In bipolar electrosurgery the current passes only between the two tips of a forceps, so no pad is needed. Smoke from it (surgical plume) is evacuated.

For the nurse

For monopolar use, place the dispersive pad on clean, dry skin over a large muscle near the site, away from bony areas, scars, hair and metal implants, and check the skin after the case for burns. Keep alcohol-based preps dry before use to prevent fire, and keep the active tip in its holster when not in use.

At a glance

Also writtenelectrosurgical, electrosurgical unit, ESU

Related terms

suture

A stitch, or the thread used to stitch, that holds the edges of a wound or incision together.

hemostatic

Stopping bleeding; also, a product or agent used to stop bleeding.

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