Application of ultrasound in surgery (review)
DOI:
https://doi.org/10.46299/j.isjea.20260502.05Keywords:
surgery, ultrasound, acoustics, mechanical vibrations, soft biological tissues, piezoelectric effect, resonant frequency, COMSOL MultiphysicsAbstract
The evolution of tools for ultrasonic cutting and ablation of biological tissues is closely related to the development of industrial ultrasonic processing of materials. The main advantage of ultrasonic effects on tissues is the reduction of their thermal damage. Improving ultrasonic surgical technologies is an urgent need of our time. The object of research is low-frequency mechanical vibrations that affect soft biological tissues during surgical interventions. The subject of research is ultrasonic technology; structural elements and physical parameters of devices and instruments that operate using this technology. The purpose of the work is to familiarize yourself with the existing world experience in the use of ultrasound in surgical practice. To achieve the goal set in the work, it was necessary to solve the following tasks: to analyze the effect of ultrasound on soft biological tissues, to determine its advantages and disadvantages; to provide practical examples of the use of ultrasonic technology in surgery; to determine the prospects for further research. It is emphasized that ultrasound technologies have become an important component of modern surgery due to the combination of high accuracy, hemostatic effect and minimal trauma, practical examples of the application of ultrasound technology in surgery are given. The requirements for the parameters of powerful ultrasound generators depending on the environments are described, a block diagram of a modern ultrasound generator is given, which, unlike traditional ultrasound generators, has two feedback channels. An example of modeling the oscillation modes of an ultrasonic instrument using the finite element method in the COMSOL Multiphysics 5.3 software is given. Despite some technical limitations and high cost, the introduction of ultrasound technology, equipment and instruments into surgical practice continues to expand, especially in minimally invasive and high-precision interventions.References
Soler-López, F. (2013). Ultrasound applications to medicine. Tecciencia, Vol. 7. No. 14, 77-89. doi: http:/dx.doi.org/10.18180/tecciencia.2013.14.10
Carovac, A., Smajlovic, F., Junuzovic, D. (2011). Application of Ultrasound in Medicine. Acta Informatica Medica, 19(3), 168-171. doi: 10.5455/aim.2011.19.168-171
Haqiqullah, C., Shakib, Z., Nasratullah, Z., Ghafar, S., Jan, A. (2024). Basics of Ultrasound and Its Use in Medicine: A Review Article. Journal for Research in Applied Sciences and Biotechnology, Vol. 3. Issue 4, 22-27. doi: https://doi.org/10.55544/jrasb.3.4.4
Pilli, S., Bhunia, P., Yan, S., LeBlanc, R., Tyagi, R., Surampalli, R. (2011). Ultrasonic pretreatment of sludge: A review. Ultrason. Sonochem, 18, 1–18. doi: https:// doi.org/10.1016/j.ultsonch.2010.02.014
Averbuch, G., Assink, J., Evers, L. (2020). Long-range atmospheric infrasound propagation from subsurface sources. J. Acoust. Soc. Am., 147, 1264–1274. doi:https
Yusof, N., Babgi, B., Alghamdi, Y., Aksu, M., Madhavan, J., Ashokkumar, M. (2016). Physical and chemical effects of acoustic cavitation in selected ultrasonic cleaning applications, Ultrason. Sonochem, 29, 568–576. doi: https://doi.org/10.1016/ j.ultsonch.2015.06.013
O'Briend, W. (2007). Ultrasound-biophysics mechanisms. Progress in Biophysics and Molecular Biology, Vol. 93, № 1, 212-255. doi: https://doi.org/10.1016/j.pbiomolbio.2006.07.010
Hill, C., Bamber, J., Haar, G. (2004). Physical principles of medical ultrasonics. John Wiley & Sons. 528.
Aird, E. (1988). Basic physics for medical imaging. Butterworth-Heinemann. 324.
Bouchoux, G., Lafon, C., Berriet, R., Chapelon, J., Fleury G., Cathignol, D. (2008). Dual-Mode Ultrasound Transducer for Image-Guided Interstitial Thermal Therapy. Ultrasound in Medicine & Biology, Vol. 34, № 4, 607-616. doi:https://doi.org/10.1016/j.ultrasmedbio.2007.09.011.
Bhatnagar, S. (2012). Converting sound energy to electric energy. International Journal of Emerging Technology and Advanced Engineering, Vol. 2, Issue 10, 267-270. Website: www.ijetae.com
Andr´es, R., Acosta, V., Lucas, M., Riera, E. (2018). Modal analysis and nonlinear characterization of an airborne power ultrasonic transducer with rectangular plate radiator. Ultrasonics 82, 345–356. doi: https://doi.org/10.1016/j. ultras.2017.09.017
Dong, X., Uchino, K., Jiang, C., Jin, L., Xu, Z., Yuan, Y. (2020). Electromechanical Equivalent Circuit Model of a Piezoelectric Disk Considering Three Internal Losses. IEEE Access 8, 181848–181854. doi: https://doi.org/10.1109/ ACCESS.2020.3028698
Duck, F. (2007). Medical and non-medical protection standards for ultrasound and infrasound. Prog. Biophys. Mol. Biol., 93, 176–191.
Злепко, С., Коваль, Л., Гаврилова, Н. та ін. (2010). Медична апаратура спеціального призначення. Вінниця: ВНТУ. 159.
Sleefe, G., Lele, P. (1988). On estimating the number density of random scatterers from backscattered acoustic signals. ltrasound in Medicine & Biology, Vol. 14, № 8, 709-727.
Shin, H., Prager, R., Gomersall, H., Kingsbury N., Treece, G. (2010). Estimation of speed of sound in dual-layered media using medical ultrasound image deconvolution. Ultrasonics, Vol. 50, № 7, 16-25.
Zhang, X., Qiang, B., Hubmayr, R., Urban, M., Kinnick R., Greenleaf, J. (2011). Noninvasive ultrasound image guided surface wave method for measuring the wave speed and estimating the elasticity of lungs: A feasibility study. Ultrasonics, Vol. 51, №3, 289-295.
O'Daly, B., Morris, E., Gavin, G., O'Byrne, J., McGuinness, G. (2008). High-power low-frequency ultrasound: A review of tissue dissection and ablation in medicine and surgery. Journal of Materials Processing Technology, Vol. 200, Issues 1-3, 38-58. doi:10.21427/8k5k-pg74
Cimino, W. (1999). The physics of soft tissue fragmentation using ultrasonic frequency vibration of metal probes. Clin. Plast. Surg. 26, 447–461.
Cimino, W.W., (2001). Ultrasonic surgery: power quantification and efficiency optimization. Aesthetic Surg. J. 21, 233–241.
Ying, C., Zhaoying, Z., Ganghua, Z. (2006). Effects of different tissue loads on high power ultrasonic surgery scalpel. Ultrasound Med. Biol. 32, 415–420. doi: https://doi. org/10.1016/j.ultrasmedbio.2005.12.012
Liu, X., Colli-Menchi, A., Gilbert, J., Friedrichs, D., Malang, K., Sanchez- Sinencio E. (2015). An automatic resonance tracking scheme with maximum power transfer for piezoelectric transducers. IEEE Trans. Ind. Electron. 62, 7136–7145. doi: https://doi.org/10.1109/TIE.2015.2436874
Yusof, N., Babgi, B., Alghamdi, Y., Aksu, M., Madhavan, J., Ashokkumar, M. (2016). Physical and chemical effects of acoustic cavitation in selected ultrasonic cleaning applications. Ultrason. Sonochem. 29, 568–576. doi:https://doi.org/10.1016/ j.ultsonch.2015.06.013
Andr´es, R., Acosta, V., Lucas, M., Riera, E. (2018). Modal analysis and nonlinear characterization of an airborne power ultrasonic transducer with rectangular plate radiator. Ultrasonics 82, 345–356. doi: https://doi.org/10.1016/j. ultras.2017.09.017
Neppiras, E. (1984). Acoustic cavitation series: part one. Ultrasonics 22, 25–28. doi:https://doi.org/10.1016/0041-624X(84)90057-X
Liu, L., Yang, Y., Liu, P., Tan, W. (2014). The influence of air content in water on ultrasonic cavitation field. Ultrason. Sonochem, 21, 566–571. doi:https://doi.org/ 10.1016/j.ultsonch.2013.10.007
Yao, Y., Pan, Y., Liu, S. (2020). Power ultrasound and its applications: a state-of-the-art review. Ultrason. Sonochem, 62, 104722. doi:https
S˜ao Jos´e, J., Andrade, N., Ramos, A., Vanetti, M., Stringheta, P., Chaves, J. (2014). Decontamination by ultrasound application in fresh fruits and vegetables. Food Control, 45, 36–50.
Ying, C., Zhaoying, Z., Ganghua, Z. (2006). Effects of different tissue loads on high power ultrasonic surgery scalpel. Ultrasound Med. Biol., 32, 415–420. doi:https://doi. org/10.1016/j.ultrasmedbio.2005.12.012
Liu, X., Colli-Menchi, A., Gilbert, J., Friedrichs, D., Malang, K., Sanchez-Sinencio, E. (2015). An automatic resonance tracking scheme with maximum power transfer for piezoelectric transducers. IEEE Trans. Ind. Electron., 62, 7136–7145. doi:https
Kuan, Z., Guofu, G., Chongyang, Z., Yi, W., Yan, W., Jianfeng, L. (2023). Review of the design of power ultrasonic generator for piezoelectric transducer. Ultrasonics Sonochemistry, 96, 106438, 1-22. doi: https://doi.org/10.1016/j.ultsonch.2023.106438
Дубко, А. (2022). Хірургічні способи з’єднання живих біологічних тканин. Scientific Foundations in medicine and Pharmacy: collective monograph. Іnternational Science Group. Boston: Primedia eLaunch. Section 2. Biomedical Engineering, 17 - 31. doi:10.46299/ISG.2022.MONO.MED.2. URL: https://isg-konf.com/scientific-foundations-in-medicine-and-pharmacy/
Juncosa-Melvin, N., Pineda. J., Kane. K., Clymer. J., Ricketts, C. (2024). Advances in Vessel Sealing and Dissection with Ultrasonic Energy. World Journal of Surgery and Surgical Research, 7: 1544. 1 – 5. doi:http
Zhenlong, P., Deyuan, Z., Xiangyu, Z., Guang, Y. (2020). Ultrasonic-assisted transducer for electrosurgical electrodes. Procedia, 89 (11), 245-249. doi:
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Oleksandr Romanenko, Andrii Dubko, Nataliia Chvertko
This work is licensed under a Creative Commons Attribution 4.0 International License.
