Ultrasonic dissection for endoscopic surgery

With the development of endoscopic surgery, new hazards of high-frequency ( HF) electrosurgery have been recognized. The potential risks of monopolar e lectrosurgery, the Limitations of bipolar technique, and the need to reduce instrument interchange have favored the use of ultrasonic technology, whic h becomes more and more popular. This work aims at presenting the main feat ures of the currently available ultrasonically activated scalpels, as well as their advantages, limitations, and indications.