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The transurethral resection (TUR) is a standard technique in urological treatment procedures. Both, monopolar and bipolar electrosurgical systems, are used for TUR. Whereas electrical and physical processes in surgery surroundings are well understood for monopolar systems, there is no sufficient data base for the assessment of the processes with the use of bipolar systems. In this context a multi-electrode measuring system was developed to visualize the spatial potential distribution around bipolar electrosurgical devices as a first step to risk analysis. To simulate the anatomic surroundings of a transurethral surgery a cylinder filled with isotonic saline solution was used as a complexity reduced experimental environment.
The bipolar transurethral resection is a further development of monopolar transurethral resection, being the gold standard in surgical treatment of prostate and bladder diseases. To create the metrological basis for understanding of electrical and physical processes during bipolar transurethral resection an experimental set-up to visualize spatial potential distribution around bipolar devices was developed. A hardware based signal conditioning and specific undersampling are presented as data acquisition methods for a sampling rate up to 1 MS/s. These methods are compared with the possibilities of a high speed data acquisition card. For more than four measuring channels and depending on the output bandwidth of the electrosurgical generator either hardware based signal conditioning or specific undersampling is suggested.
Bipolar electrosurgical systems are used for the treatment of benign prostatic hyperplasia (BPH) in urology. In order to analyse electrothermal processes during surgery the power loss density distribution around a bipolar resectoscope is calculated out of the measured potential distribution in isotonic saline solution ex situ. During further analysis power loss density values act as input for the Penne's bioheat equation. To achieve results, which are as realistic as possible, a method to obtain power loss density values, depending on the observed tissue or medium in the operating field, is presented. Applying this method, the power loss density distribution in isotonic saline solution at 25 °C is compared to the distribution calculated for the average conductivity of biological tissue in the region of interest.