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electrosurgery
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【pdf】electrosurgery
The purposes of electrosurgery are to destroy benign and malignant lesions, control
bleeding, and cut or excise tissue. The major modalities in electrosurgery are electrodesiccation, fulguration, electrocoagulation, and electrosection. Electrosurgery can be used
for incisional techniques that produce full-thickness excision of nevi, for shave techniques that produce partial-thickness removal of superficial lesions, and for removing
vascular lesions such as hemangiomas or pyogenic granulomas. The correct output
power can be determined by starting low and increasing the power until the desired outcome is attained (destruction, coagulation, or cutting). Smaller cherry angiomas can be
electrocoagulated lightly. Larger cherry angiomas may be easier to treat by shaving them
first, then electrocoagulating or desiccating the base. The elevated portion of pyogenic
granulomas can be shaved off with a scalpel or a loop electrode using a cutting/coagulation current. The base of the lesion is curetted to remove the remaining tissue and then
electrodesiccated. Complications such as burns, shocks, and transmission of infection can
be prevented by careful use of the electrosurgical equipment. (Am Fam Physician
2002;66:1259-66. Copyright© 2002 American Academy of Family Physicians.
【pdf】electrosurgery

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