131k views
4 votes
Which of the following surgical energy devices would be most appropriate for the dissection of the posteriomedial aspect of the thyroid gland during thyroidectomy?

a. harmonic ACE
b. monopolar diathermy in coagulation mode
c. bipolar diathermy
d. CUSA device
e. argon plasma coagulation device

1 Answer

2 votes

Final answer:

The most appropriate surgical energy device for dissecting the posteriomedial aspect of the thyroid gland during a thyroidectomy is the harmonic ACE. It uses ultrasound energy, which is safer around delicate structures. In surgeries that use electric scalpels, high-frequency AC is employed to concentrate current at the scalpel's edge and minimize tissue damage.

Step-by-step explanation:

During a thyroidectomy, the choice of surgical energy device is important for safe and effective dissection. When focusing on the posteriomedial aspect of the thyroid gland, the use of a harmonic ACE would be most appropriate. This device operates using ultrasound energy to cut and coagulate tissue, which reduces thermal spread and minimizes the risk of damage to nearby structures such as the recurrent laryngeal nerve or parathyroid glands.

Considering the properties of electric fields on conductors, during procedures that involve electric scalpels, we would expect most of the current to flow from the sharp edge due to the concentration of electric field lines at sharp points, leading to a higher current density. Such surgical procedures would typically employ high-frequency alternating current (AC), as it achieves cutting and coagulation without causing muscle contractions or significant tissue damage.

Techniques like ultrasound diathermy use high-intensity ultrasound and are common in physical therapy. Frequencies typically range from 0.8 to 1 MHz to convert energy to thermal energy for deep-heat treatments. It is essential for the therapist to be skilled to prevent complications like 'bone burns' from overheating or cavitation.

User Anna Dunietz
by
8.7k points

Related questions

asked Nov 16, 2024 53.1k views
Belter asked Nov 16, 2024
by Belter
8.2k points
2 answers
3 votes
53.1k views
asked Jan 13, 2024 187k views
Nitish Upreti asked Jan 13, 2024
by Nitish Upreti
7.2k points
1 answer
1 vote
187k views