Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Electrosurgery principles in ESD

Video Transcription

Video Summary

The video discusses the principles of electrosurgery, particularly focusing on advanced electrosurgery or ESD (Endoscopic Submucosal Dissection). The speaker emphasizes the importance of understanding electrosurgery beyond basic knowledge for effective ESD, highlighting the potential of electrosurgery units. Different settings in electrosurgery, such as mucosal marking, incision, and submucosal dissection, are addressed, with a specific focus on hemostasis. The speaker discusses the complexities of electrosurgery settings, including coagulation and cutting settings, and the need to tailor them according to tissue requirements, device being used, and patient factors. The importance of generator settings in achieving specific tissue outcomes is stressed, along with considerations such as tissue type, device features, and technique. Different electrosurgery waveform settings, like soft coag, spray coag, force coag, and endocut, are explained, noting their application for tasks such as marking, incision, dissection, and hemostasis. The speaker also shares practical tips for understanding and adjusting generator settings and emphasizes the benefits of experimenting with settings in live pig labs for better training and understanding.

Asset Subtitle

Joo Ha Hwang

Keywords

electrosurgery

ESD

hemostasis

generator settings

coagulation

endocut

training