Surgical endoscopy
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Comparative Study
Comparison of four energy-based vascular sealing and cutting instruments: A porcine model.
To compare the safety and efficacy of four energy-based vascular sealing and cutting instruments. ⋯ The bursting pressures with EnSeal were significantly higher than with all the other instruments. Harmonic ACE was the fastest sealing instrument and LigaSure Atlas was slowest. EnSeal created less radial thermal damage to the adventitial collagen of the vessels and LigaSure Atlas created less thermal damage to the media of the vessels. The clinical significance of these findings is unknown.