ConMed hyfrecator 2000 Operator's Manual page 22

2000
Otolaryngology
• Adenoid - Hypertrophied Remnants: Coagulate small areas under local anesthesia and repeat the process
until the hypertrophied areas are completely destroyed.
• Epistaxis: Electrodesiccation is very effective for hemostasis. Anesthetize the areas and carefully identify
the vessels. Bring the electrode into direct contact with the ruptured arteriole and use a light current.
Exercise care to avoid excessive tissue damage that could result in perforation of nasal septum. For that
reason, it is inadvisable to treat both sides simultaneously.
• Granular Pharyngitis: Desiccate each point using a mild desiccating current.
• Nasal Polyps: Desiccate these polyps at the base.
• Hemostasis in Tonsilloadenoidectomy: Use either monoterminal or monopolar coagulation. The
monoterminal technique uses the HIGH output. Bleeding is controlled with a sponge dampened with
epinephrine (Adrenalin) 1:1,000 before activation of the electrode. Use a ball electrode (Cat. No. 727) as
the active electrode.
• Tonsil Tag Destruction: Bipolar coagulation, using a specialized electrode (Cat. No. 789CC), can destroy
tonsillar tissue. Insert the double needles into the tissue and destroy the tissue between them.
• Turbinate Shrinkage: Use either monoterminal or monopolar coagulation. The monoterminal mode uses
a fine needle with a long, insulated sheath (Cat. No. 716). Monopolar coagulation uses the same
electrodes along with the Dispersive Patient Plate (Cat. No. 7-900-7) to complete the circuit.
Proctology
• Fissure-in-ano: Spray a fairly strong fulgurating current over the involved tissue. Healing is prompt, but
there is some discomfort during the first three days. Do not destroy the tissue too deeply. Instruct your
patient to keep the area clean and to apply an antiseptic ointment.
• Hemorrhoids: Some authorities advocate bipolar coagulation for office management of hemorrhoids.
Individually distend the hemorrhoids with a fluid solution and then coagulate.
• Ischiorectal: Incise and drain these lesions, then desiccate the wall with strong current.
• Papilloma: Small papillomas readily respond by inserting a fine needle electrode, but a fairly strong current
is needed. Larger polyps within the bowel are better treated with snares and an electrosurgical cutting
current.
Urology
• Bladder: Desiccation or fulguration of various growths within the bladder are well established urological
techniques. Use a cystoscope and a continuous flow of water. (Check with the manufacturer of your
cystoscope to determine compatibility with the HYFRECATOR® 2000).
• Vasectomy: After your patient has been anesthetized, the lumen of the vas deferens can easily be
desiccated, minimizing any peripheral damage to the surrounding muscle layers.
• Venereal Warts: Venereal warts and other small polypoid tumors respond to desiccation. Insert the sharp,
fine needle point electrode into the base of the growth, intermittently applying the current until the tissue
mildly blanches. It is not necessary to remove the desiccated tissue, as epithelization occurs beneath it.
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