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September 24, 1927


JAMA. 1927;89(13):1028-1030. doi:10.1001/jama.1927.02690130016007

In this country we owe the introduction of high frequency currents in general surgery to William L. Clark of Philadelphia and it is my purpose in this paper to speak of these currents in their application to gynecology.

Not to enter into technical details, there are three currents available which differ widely from the familiar fulguration methods which were in vogue for some twenty years with more or less success, but which have proved disappointing owing to the lack of penetrating power.

These currents are: (1) the monopolar, which is more or less superficial and which desiccates the surface but gains in penetration as the amperage is increased; (2) a bipolar damped current which coagulates the tissues and seals vessels and lymphatics, while sterilizing the area treated and destroying all malignant cells; (3) George A. Wyeth's "acusector," a rapidly oscillating undamped current with relatively low voltage and amperage, which turns

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