Electrosurgical tissue resection: a numerical and experimental study

摘要

The optimization of electrosurgical procedures requires a rigorous understanding of the electrical, thermal, mechanical and chemical events accompanying the ablation process. Modeling is indispensable and is needed to further advance this technology. This study introduces a novel tissue electrosurgical ablation model based on interstitial vapor nucleation and expansion. The model describes interstitial vapor nucleation and bubble growth using a homogeneous nucleation theory and Rayleigh equation. Electrosurgical incisions were made on beef muscle while equivalent electrical circuit parameters were monitored as a function of power settings and scalpel geometries. Thermal damage was measured using light and polarization microscopy. Results were compared with predictions produced by a numerical simulation, which modeled the tissue and electrosurgical scalpel interaction as a function of power settings and scalpel geometry.