Centers for Oral Care
No. 12 -- 19Jan2017
Fellow of the Academy of Veterinary Dentistry
Preface by Jeffrey A Sherman, DDS, FICD, FACD
Radiowave Radiosurgery is one of the most important and versatile instruments in the field of surgery today. Its numerous usages range from performing surgical incisions to establishing hemostasis. Radiowave radiosurgery offers the advantages of a safe, fast, and efficient incision with a better field of visibility. The pressureless cut of radiosurgery, offers minimal bleeding which often requires no suturing.
Radiowave Radiosurgery is the terminology applied to the most advanced form of electrosurgery. The radiowave radiosurgical instrument uses a high frequency radio signal to perform the incisions previously accomplished with the lower frequency electrosurgical instrument. The high frequency radio signal produces a finer, less traumatic incision and therefore has seen increased usage in all forms of surgery.
The main advantage to radiosurgery is its ability to produce coagulation to an area which would often have extensive bleeding. Radiosurgery can therefore enhance the surgeon's vision of the surgical site and establish a greater ability to perform a more accurate incision. The absence or minimal amount of bleeding during surgery allows the procedure to be performed more rapidly and with more confidence.
Radiosurgery offers a variety of waveforms for making incisions. The Fully Rectified Filtered waveform is the waveform of choice for performing deep surgical incisions. This waveform mimics the cut of a scalpel blade and thus cuts with only minimal coagulation. The Filtered waveform when used with a Vari-Tip straight wire electrode produces the most delicate of incisions and histologically offers the least amount of tissue alteration. The Fully Rectified waveform produces an incision with concurrent coagulation. The advantage of using this waveform in comparison to the Filtered waveform is that increased visibility is established due to the enhanced coagulation. The Partially Rectified waveform is strictly a coagulating waveform and can be used to establish coagulation in areas of bleeding or oozing. Areas of extensive bleeding can be controlled with the aid of the bipolar coagulating electrode or the Fulguration waveform on those instruments that don't offer bipolar capabilities.
Bipolar surgery is used for excision as well as hemostasis of soft tissue. The bipolar electrode consists of 2 parallel wires, one to make the incision and the other to act as the antenna to receive the radiosignal. This modality is believed to minimize transmission of the radiosignal to the surrounding tissue and thereby eliminating any lateral heat.
A new Proprietary Advanced Composition Alloy Electrode known as the ACE Electrode, has just been developed to reduce tissue damage and heat generated to the surgical site. The ACE Electrode has been shown to produce thermal damage in micrometers no greater than 10 microns in comparison to tungsten electrodes that have produced thermal damage as high as 30 microns. Another important advantage of the ACE electrodes is their ability to minimize tissue sticking to the electrode tip. This insures a clean cutting tip providing a more precise microfine incision. These electrodes are easily identified by the orange coloring of the protective sleeve.
Dr. DeForge's publication of The Journal of Veterinary Radiowave Radiosurgery is one of the most important, innovative journals available to the practitioner today. With the aid of the internet, new advancements in the field of Radiowave Radiosurgery can be rapidly disseminated to the surgeons who perform these procedures and keep them on the cutting edge. Dr. DeForge has been a pioneer in the field of Veterinary Oral Radiowave Radiosurgery and he has decided to share his expertise will all surgeons in all disciplines of medicine, dentistry, and veterinary medicine via the 21st Century use of the internet.
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Jeffrey A. Sherman, DDS, FICD, FACD, is presently the Executive Director of the World Academy of Radiosurgery, past President of the American Academy of Dental Electrosurgery, a Diplomate of the American Board of Oral Electrosurgery as well as a Fellow of the American College of Dentists, and the International College of Dentists. Dr. Sherman has been closely involved with the research and development of electrosurgery in the dental profession. He has carried out research and clinical trials in his private practice in Oakdale, New York and has published three textbooks, " Oral Electrosurgery-An Illustrated Clinical Guide" , "Oral Electrosurgery-State of the Art Radiosurgery", "Oral Radiosurgery", a video entitled, "Oral Electrosurgery- State of the Art Radiosurgery" , in addition to numerous articles in international journals.
Dr. Sherman has lectured at dental schools and meetings throughout the world, including Yale University, New York University, Tufts University, Louisiana State University, Cairo University, and Seoul Dental Institute. Dr Sherman has been listed in Dentistry Today's Top 100 Leaders in Continuing Dental Education. Dr. Sherman maintains a private general dental practice in Oakdale, NY and can be reached at 631-567-2100 or via Email at: ESURG@aol.com.
During the past 35 years I have patented and introduced numerous innovative surgical products that have become important necessities in clinics, hospitals, and private practices within the veterinary, dental, and medical professions. I consider my most significant contribution to be the introduction of the 4 megahertz Radiowave Radiosurgery device and its range of radiofrequency (RF) accessories.
A notable highlight of this novel radiowave surgical technology is its exclusive use in the successful separation of the human conjoined twins by Dr. James Goodrich at Montefiore Medical Center in New York. Another newsworthy surgical case that appeared on the world stage was Peru's "Mermaid Girl ". Dr. Luis Rubio at the Solidarity Hospital in Lima, Peru used my patented Radiowave 4 megahertz device to successfully separate the legs of this one year old girl.
Dr. Donald DeForge of Silver Sands Veterinary Hospital in Connecticut, a distinguished practitioner, author, and lecturer of veterinary medicine has supported the value of Radiowave Radiosurgery. He has incorporated the many techniques into his surgical practice. For over a decade he has offered hands-on workshops on Radiowave Radiosurgery and its use in the oral cavity surgery.
Today Dr. DeForge, as a noted expert in Oral Radiowave surgery, continually strives to enlighten and train veterinary practitioners to appreciate and implement Radiowave RF technology as a safe and prudent choice for the betterment of patient quality of life.
With the introduction of the online e-journal, veterinarians worldwide will be able to benefit from the numerous accepted radiowave surgical methods and procedures that can easily be performed on the oral and gingival mucosa. These indications are being refined and implemented in thousands of private practices around the world.
This new e-journal will be a platform for Dr. DeForge to illustrate and update the many techniques of radiowave surgery. I encourage all veterinarians to learn about this simple and effective technique from Dr. DeForge.