ASGE JGES Primer ESD (On-Demand) | September 2022-Basics of Electrosurgical Generators

Video Transcription

Video Summary

In this video, the speaker discusses the basics of electrosurgical generators and their use in endoscopic submucosal dissection (ESD). The speaker starts by expressing gratitude for the invitation and introduces their own journey in the field. They explain that the talk was originally meant to cover basic settings for ESD, but they decided to instead focus on the basics of electrosurgical generators. The speaker discloses their consulting role for Boston Scientific, Irby, and steroids endoscopy. They go on to discuss various factors that influence the removal of lesions, such as activation duration, movement types, pressure applied, and tissue characteristics. The speaker explains the concepts of coagulation and cutting and the role of heat in these processes. They discuss the influence of current density, resistance, and conductivity on heat generation. The speaker explains the differences between monopolar and bipolar accessories and provides examples of each. They then delve into the different modes of electrosurgical generators, such as AutoCut, TriCut, and EndoCut, and their respective effects on cutting and coagulation. The speaker also demonstrates the use of different modes in actual procedures. They emphasize the importance of understanding knife handling skills and the principles of the generator for optimal outcomes. The speaker further highlights the importance of continuous learning, seeking guidance from experts, and maximizing time in the skills lab.

Asset Subtitle

Aziz Aadam, MD

Keywords

electrosurgical generators

endoscopic submucosal dissection

coagulation

cutting

heat generation

knife handling skills