In presenting this subject I shall endeavor to record my observations and experiences devoid of speculation and overenthusiasm. The term "electrosurgery" is used in order, as far as possible, to avoid confusion, the proper type of current being selected for the conditions at hand. A thorough knowledge of the various currents to be employed, together with their proper application, is absolutely prerequisite for the proper and safe utilization of electrosurgery.
The procedures are not fool-proof or free from danger in the hands of the ill-trained. When used by the surgeon with proper training and experience, the electrical currents are definitely controlled and safe, frequently replacing the scalpel to advantage.
ELECTRICAL CURRENT EMPLOYED
High frequency current in some form is practically always the agent employed in electrosurgery. The effects produced by the types of high frequency current that are especially concerned in electrosurgery are as follows:
Electrodesiccation and fulguration (referred to
BALMER FB. ELECTROSURGERY AND THE OTOLARYNGOLOGISTINCLUDING GRADUAL EXTIRPATION OF THE TONSILS BY ELECTROCOAGULATION AND DIATHERMOCRYPTECTOMY. Arch Otolaryngol. 1932;15(4):503–516. doi:10.1001/archotol.1932.03570030522001
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