Endoscopic Submucosal Dissection (ESD) (On-Demandl)

Video Transcription

Video Summary

The discussion focuses on techniques and challenges of using electro-surgery underwater, emphasizing the importance of current density. The speakers highlight that while the dual knife can be used underwater without setting changes due to its high current density, thicker knives and water immersion can complicate cutting. The importance of using saline instead of water for effective submucosal dissection is noted. Practitioners are advised to make precise initial incisions and manage bleeding by opening incisions and using appropriate electrical currents. Maintaining a clean knife to ensure precision and effectiveness is crucial, as charred knives can lead to unpredictable cutting.

Keywords

electro-surgery

current density

submucosal dissection

saline

precise incisions