Electrocautery

Electrocautery

Electrocautery, also known as thermal cautery, refers to a process in which a direct or alternating current is passed through a resistant metal wire electrode, generating heat. The heated electrode is then applied to living tissue to achieve hemostasis or varying degrees of tissue destruction. [1] Electrocautery can be used in various minor surgical procedures in dermatology, ophthalmology, otolaryngology, plastic surgery, and urology.

In electrocautery, the current does not pass through the patient; thus, the procedure can be safely used in patients with implanted electrical devices such as cardiac pacemakers, implantable cardioverter-defibrillators, and deep-brain stimulators.

Basic Physics Terminology

  • Voltage (volts): force that pushes the current (“Potential Energy”).
    • – More force = more destruction
  • Resistance (ohm): quality of tissue that impedes flow of current.
    • More resistance = less current flow.
    • Resistance of skin > bone > fat > muscle > bowel wall (326 ohms) > blood.
  • Intensity (amps): amount of electricity crossing an area (wire), per second.
  • Current Density (amp/cm 2): amount of current flowing through a cross sectional area = Current Intensity(amps)/area(cm2)

risks of electrocauterization

The treatment itself has minimal risks. Risks of electrocauterization may include:

  • slight bleeding
  • infection; your doctor may give you antibiotics to reduce this risk
  • pain or mild discomfort; your doctor may prescribe you pain medication for after the procedure

Tell your doctor if you have a pacemaker or prosthetic joint before undergoing this treatment.

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