Liquid-Infused Surfaces on Electrosurgical Instruments with Exceptional Antiadhesion and Low-Damage Performances.

Abstract

Electrosurgery based on electrosurgical instruments plays an important role in clinical surgery owing to its advantages of ease of operation, low damage, and less pain to the patient. But soft tissue adhesion on electrosurgical instruments is still a major obstacle to improve the operation efficiency and achieve a better surgical result, regardless of so many developed methods to enhance the antiadhesion performance. In this paper, we successfully demonstrated that liquid-infused surfaces (LISs) can significantly improve the antiadhesion performance of electrosurgical instruments. We developed a microcontact printing method to assist the structure fabrication on the small instrument tip to prepare a firmly liquid-held surface. Soft tissue cutting experiments showed that LIS could not only significantly reduce the adhesion force between the tissue and the instrument tip but also lead to a much smaller charring wound. The underlying mechanism was discussed, and further experiments concluded that LIS have a better duration capability. Our study provides a new insight into the antiadhesion design for electrosurgical instruments.