Hemorrhoids are one of the most common anorectal diseases in clinical practice, with primary symptoms including bleeding, pain, and even prolapse, significantly impacting patients' quality of life. For patients with severe hemorrhoids, surgical excision is an effective treatment. Traditional surgery often employs monopolar electrocautery, which is widely used but associated with issues such as significant thermal damage and slow postoperative recovery. In recent years, with advancements in minimally invasive surgical techniques, bipolar coagulation forceps have been increasingly adopted in hemorrhoidectomy, demonstrating notable advantages.

 

Most medical institutions in China still commonly use monopolar electrocautery for hemorrhoidectomy. This device generates high heat through high-frequency current to achieve tissue cutting and coagulation. Although relatively simple to operate, the current must pass through the patient’s body to form a circuit, resulting in a broader thermal spread that can cause additional damage to healthy tissue around the wound edges. This leads to noticeable postoperative pain, prolonged wound healing, and a relatively higher incidence of complications such as urinary retention and incisional edema ^[1].

 

In contrast, bipolar coagulation forceps confine the current to a minimal area between the two tips, eliminating the need for a circuit through the body. The energy is highly concentrated, with minimal thermal diffusion. While achieving precise hemostasis, it maximally preserves surrounding healthy tissue, making it particularly suitable for the perianal region with dense vascular distribution. Clinical studies have shown that using bipolar coagulation forceps for hemorrhoidectomy significantly reduces operative time, intraoperative blood loss, postoperative pain scores, and promotes wound healing. Additionally, the incidence of complications such as postoperative edema and urinary dysfunction is significantly lower compared to traditional electrocautery ^[2].

 

ShouLiang-med’s independently developed bipolar coagulation forceps integrate high-precision tip design and anti-adhesive coating technology, ensuring concentrated current and minimal thermal damage. They are particularly suitable for delicate procedures such as hemorrhoidectomy. The "coagulation-dissection simultaneously" function enhances anatomical efficiency and operational smoothness, providing a clear surgical field and significantly improving surgical safety and postoperative recovery quality.

 

The application of bipolar coagulation forceps in hemorrhoidectomy offers multiple advantages, including minimal damage, rapid recovery, and fewer complications, aligning with the principles of modern minimally invasive surgery and enhanced recovery after surgery. ShouLiang-med’s bipolar coagulation forceps, with their excellent performance, are a reliable choice in the field of anorectal surgery.

 

References:

[1] Zhang P. Application analysis of procedure for prolapse and hemorrhoids (PPH) in the treatment of hemorrhoids. Chinese Journal of Medical Guide, 2016, 18(5): 440-441.

[2] Song J F. Application of bipolar coagulation forceps in hemorrhoidectomy. Journal of Clinical Medical Literature, 2019, 6(83): 73-74.

[3] Chen J Z, Xiang D Z, Geng X L, et al. Efficacy comparison of modified procedure for prolapse and hemorrhoids versus traditional surgery in the treatment of moderate-to-severe hemorrhoids. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2013, 22(16): 1759-1760.

[4] Dai H, Hu Q, Huang J T, et al. Evaluation of bipolar coagulation technology in anorectal surgery. Journal of Hunan University (Medical Sciences), 2017, 14(1): 127-129.

Revascularization techniques are widely employed in the treatment of cerebrovascular diseases and in the resection of complex skull base tumors involving major intracranial arteries. Among them, the superficial temporal artery–middle cerebral artery (STA–MCA) bypass is the most commonly performed, primarily indicated for moyamoya disease (MMD), internal carotid artery occlusive disease, and complex middle cerebral artery aneurysms (1–10 mm). Complete dissection of the STA and ensuring graft patency are essential prerequisites for successful STA–MCA bypass. At present, most neurosurgeons in China utilize sharp dissection or monopolar electrocautery for vessel harvesting. Bipolar electrocautery dissection, which originated in Japan, is widely practiced there and has been proven superior to monopolar dissection for STA harvesting, but its application remains limited in other countries and regions ^[1].

 

Common vessel dissection methods include sharp dissection, monopolar electrocautery, and bipolar electrocautery. Sharp dissection is the most traditional surgical technique but offers poor hemostatic efficacy and safety, while being time-consuming. Monopolar electrocautery relies on thermal energy to efficiently separate tissues and is considered safer than sharp dissection ^[2]. It is currently the most widely used vessel harvesting technique in China for cerebrovascular bypass. However, the significant thermal energy generated may damage vessels, causing vasospasm or occlusion. As a result, monopolar dissection is often performed at a distance from the target vessel, leaving excessive perivascular soft tissue. This not only reduces the effective length of the donor vessel but also increases the effort required for trimming. Residual soft tissue may also cause torsion of the donor artery, complicating placement and affecting the quality of the anastomosis. Furthermore, monopolar dissection results in more extensive scalp trauma and thermal injury, which can impair wound healing ^[3], and increase the risk of vasospasm or occlusion—ultimately reducing surgical success rates.

 

Bipolar electrocautery dissection offers a simpler and more efficient approach, enabling simultaneous dissection, coagulation, and separation without frequent instrument changes. Surgeons may operate with bipolar forceps in the right hand and a suction device in the left, achieving rapid and reliable hemostasis. During STA dissection, current is discharged only at the tips of the forceps, producing relatively less heat ^[4]. This minimizes wound injury, reduces soft-tissue adhesion, and yields longer, more pliable donor vessels, allowing surgeons to freely position the artery and select the optimal bypass site without compromising anastomosis. Moreover, while traditional monopolar cautery requires branch division followed by bipolar coagulation—often obscuring the surgical field—bipolar cautery can divide branches with minimal bleeding, thereby maintaining excellent visibility ^[1].

 

ShouLiang-med has independently developed bipolar forceps featuring mirror-polished technology, providing excellent conductivity, thermal efficiency, and anti-adhesion performance. The finely engineered tips are suitable for a wide range of neurosurgical procedures, allowing precise dissection and effective hemostasis of delicate vessels. A key innovation lies in the precise confinement of current to the forceps tips, significantly reducing collateral thermal injury. The anti-adhesion design, combined with the ability to coagulate while dissecting, enhances operative fluency and surgical field clarity, effectively reducing operative time.

 

References

[1] Li Y, Wang YJ, Cao Y, et al. Bipolar electrocautery vessel dissection: a novel technique for harvesting donor arteries in cerebral revascularization [J]. Chinese Journal of Modern Neurological Diseases, 2022, 22(05): 386–392.

[2] Charbel FT, Meglio G, Amin-Hanjani S. Superficial temporal artery–to–middle cerebral artery bypass [J]. Neurosurgery, 2005, 56(1 Suppl): 186–190.

[3] Chung Y, Lee SH, Choi SK. Fundamental basis of scalp layering techniques to protect against wound infection: a comparative study between conventional and in-to-out dissection of the superficial temporal artery [J]. World Neurosurg, 2017, 97: 304–311.

[4] Malis LI. Electrosurgery: technical note [J]. J Neurosurg, 1996, 85: 970–975.