Tip 24: Introduction to Hot Avulsion | June 2021-Tip 24: Introduction to Hot Avulsion

Video Transcription

Video Summary

The video discusses the use of hot forceps and avulsion in colorectal EMR procedures. The video explains that after snaring and resection, normal appearing margins are treated with thermal injury using the snare tip on soft coag. Avulsion, done with either hot or cold forceps, is used as a salvage method in about a third of referred lesions during colorectal EMR. Hot avulsion is preferred as it is considered cleaner and safer. The video emphasizes that hot avulsion should not be used for diminutive polyps, as a primary tool for resection of larger polyps or for biopsy before referral. The technique of hot avulsion is outlined, including forceps placement, mechanical tenting, and electrocautery. The risks and benefits of hot avulsion are discussed, as well as precautions to take during the procedure. Overall, the video serves as a guide for the appropriate use of hot forceps and avulsion in colorectal EMR.

Keywords

hot forceps

avulsion

colorectal EMR

thermal injury

snare tip