Laparoscopic surgery is a type of surgery where a small incision is made in the abdomen or pelvic areas rather than a large cut. The incision is usually less than half an inch. In some laparoscopic tubal sterilization surgeries in women, otherwise known as getting the woman’s “tubes tied”, a tool known as Kleppinger forceps, created by Richard Kleppinger, is used to help seal incisions. The surgery is a delicate one and should only be preformed by experienced surgeons to avoid accidental kleppinger coagulation punctures.
Kleppinger bipolar forceps work to coagulate the fallopian tube and the mesosalpinx at the same time eliminating a second step. They are useful for large vessel coagulation. The design of these forceps include a pair of flat tips that squeeze together on the end of a spring loaded forceps handle. Some designs come with scissor like handles, while others appear more like a syringe. The insulated springs are contained within a tube that forces the forceps tips together. High currents, or heat is generated through the forceps during surgery. The electrical current is regulated by a matching meter. Once the current slows or ceases altogether the surgeon knows that the tissue has been successfully desiccated where it no longer conducts electricity. At this point the kleppinger forceps can safely be removed without concern of injury.
In some instances accidental kleppinger coagulation punctures came about from worn, or un-insulated forceps. This is rare when these forceps are used with kleppinger set ups by the company.
Kleppinger coagulation is useful in stopping excessive bleeding during surgery. Kleppinger coagulation punctures are used with bipolar cutting current that moves between the forcep tips. This is also known as electrosurgical coagulation. The bipolar cutting currant is used to compress and remove moisture from the infundibulopelvic ligament, the fallopian tube, and the broad ligament. There is a myth that bipolar coagulation will destroy all cellular life within the fallopian tube. If done correctly, bipolar coagulation will completely seal off the end of the tube and nothing more.
Kleppinger coagulation punctures use low voltage and temperatures compared to unipolar techniques. This means the duration the forceps are used is lengthened to correctly seal the area.
Accidental kleppinger coagulation punctures or burns have happened during few surgeries. In most cases the problem was solved immediately and the punctured area fixed with no lasting side effects. Bipolar mistakes happen less frequently than with those using unipolar methods with bipolar averaging less than one percent in any given year.
Those interested on learning more should search online for more information on Kleppinger coagulation punctures, uses, and techniques.