The efficiency of radiowave technology in out-patient eye surgery

Purpose: to analyze the technique of outpatient operations using radiowave surgery.

Material and methods. The clinical group of 691 patients (691 eyes; 315 men and 376 women aged 39.7 ± 4.2 years), with various pathologies of the eye and adnexa, in particular papilloma, eyelid cyst, abscess, chalazion, contagious mollusk, pterygium, pinguecula, conjunctival cyst, trichiasis, xanthelasma were observed for 2 years. Surgical treatment of adnexa neoplasms was performed using a Surgitron radiowave apparatus (USA) in three modes.

Results. Multiple techniques of radiowave surgery targeting specific eye and adnexa pathologies are presented. Using electrodes of varied configurations enables the application of radio knives practically in all ophthalmoplastic surgeries belonging to “minor surgery”. The presence of flexible microwires on electrodes with changeable shapes contributes to improved surgery results.

Conclusion. Radiowave technique of cutting and coagulation with the help of a radio knife not only reduces the time required for surgery but increases the convenience for the surgeon performing individual stages of the operation, or the whole operation. The disinfecting properties of the tips emerging due to the action of radiowaves help prevent the relapses of diseases and reduce the time of wound rehabilitation, thereby improving the cosmetic effect of the intervention.

1. Киселева Т.Н., Степанова Ю.А., Вериго Е.Н., Ильина Н.В., Луговкина К.В. Ультразвуковое исследование в выборе оптимальной тактики лечения воспалительных заболеваний мейбомиевых желез. Медицинская визуализация. 2015; 1: 19–25. Kiseleva T.N., Stepanova Y.A., Verigo E.N., Ilina N.V., Lugovkina K.V. Ultrasound examinations in the choice of the optimal treatment strategy of chalazion. Medical Visualization. 2015; 1: 19–25 (in Russian).

2. Ступин В.А., Смирнова Г.О., Мантурова Н.Е. и др. Сравнительный анализ процессов заживления хирургических ран при использовании различных видов радиочастотных режущих устройств и металлического скальпеля. Курский научно-практический вестник «Человек и его здоровье». 2010; 4: 9–14.

3. Stupin V.A., Smirnova G.O., Manturova N.E., et al. Comparative analysis of healing processes of surgical wounds in use of various kinds of radio-frequency cutting devices and a metal scalpel. Kurskiy nauchno-prakticheskiy vestnik “Chelovek i ego zdorov'e”. 2010; 4: 9–14 (in Russian).

4. Филатова И.А., Мохаммад И.М., Шеметов С.А. Модификация операции эвисцерации глазного яблока с использованием методики радиоволновой хирургии. Российский офтальмологический журнал. 2017; 10 (3): 84–92. doi: 10.21516/2072-0076-2017-10-3-84-92 Filatova I.A., Mohammad I.M., Shemetov S.A. Modified eyeball evisceration surgery using radio wave surgery technique. Russian ophthalmological journal. 2017; 10 (3): 84–92 (in Russian).

5. Niamtu J. Radiowave surgery offers laser-like outcomes in facial cosmetic procedures, but with precision cutting and a faster healing process. Plastic surgery. 2001; 10: 52–8.

6. Ragab S.M., Elsheikh M.N., Saafan M.E., Elsherief S.G. Radiophonosurgery of benign superficial vocal fold lesions. J. Laryngol. Otol. 2005 Dec; 119 (12 Dec.): 961–6. doi: 10.1258/002221505775010670

7. Rau H.G., Cohnert T.U., Schardey H.M., Buttler E., Schildberg F.W. Prospective analyses of hepatic resection by three techniques in 121 patients. Eastern Journal of Medicine. 1997; 1: 5–9.

8. Sultan A. Radiosurgery (Surgitron) Technique in Otorhinolaryngology. Egipt J. Otolar. 1991; 8 (1): 73–5.

9. Саакян С.В., Иванова О.А., Пантелеева О.Г. Результаты хирургического лечения невуса бульбарной конъюнктивы. Детская хирургия. 2011; 2: 17–19. Saakyan S.V., Ivanova O.A., Panteleeva O.G. Results of surgical treatment of nevus of the bulbar conjunctiva. Detskaja khirurgija. 2011; 2: 17–9 (in Russian).

10. Шляхов М.И. Радиоволновая эксцизия субэпителиальных кист конъюнктивы при анофтальмии. Рефракционная хирургия и офтальмология. 2009; 9 (1): 31–3. Shlyakhov M.I. Radio wave excision of subepithelial cysts of the conjunctiva with anophthalmia. Refractive surgery and ophthalmology. 2009; 9 (1): 31–3 (in Russian).

11. Филатова И.А. Радиоволновая хирургия в лечении дакриоцистита. Вестник офтальмологии. 2018; 134 (1): 70–6. Filatova I.A. Radio-wave surgery in the treatment of dacryocystitis. Bulletin of ophthalmology. 2018; 134 (1): 70–6 (in Russian).

12. Филатова И.А., Мохаммад И.М., Шеметов С.А., Братов Б.М. Радиоволновая технология в хирургии век и удалении глаза — современный подход к хирургическому лечению и реабилитации. HEAD and NECK. 2017; 3: 25–31. Filatova I.A., Mohammad I.M., Shemetov S.A., Bratov B.M. Radiowave technology in eyelid surgery and eye removal is a modern approach to surgical treatment and rehabilitation. HEAD and NECK. 2017; 3: 25–31 (in Russian).

13. Филатова И.А., Мохаммад И.М. Способ эвисцерации глазного яблока: пат. РФ № 2611932, 2017. Filatova I.A., Mohammad I.M. Method of evisceration of the eyeball. Patent RF, N 2611932, 2017 (in Russian).

14. Aimino G., Davi G., Santella M. Oculoplastic Surgery with Radiofrequency. Milano: Full Image Edition; 1999.

15. Bosniak S.L., Javatw R.M., Aquino M.S., et al. Radiosurgery — a new approach to eyelid, orbital and lacrimal surgery. Int. J. Aesthetic Restorative Surg. 1995; 3: 9–15.

16. Francis G.A. Surgitron micro-wire myringotomy knife. J. Burlington Ear, Nose, Throat Clin. 1996; 4: 1–3.

17. Rusciani A., Curinga G., Menichini G., Alfano C., Rusciani L. Nonsurgical tightening of skin laxity: a new radiofrequency approach. J. Drugs Dermatol. 2007; 6 (4 Apr.): 381–6. PMID: 17668535

18. Бровкина А.Ф. Офтальмоонкология: руководство для врачей. Москва: Медицина; 2002. Brovkina A.F. Ophthalmic oncology: a guide for physicians Moscow: Meditsina; 2002 (in Russian).