Ultrasonic energy can be applied to surgical instruments for cutting, dissecting, and coagulating vessels and/or tissue. This book presents the use of ultrasound energy as it is used in Ultra Cision products, for use in surgery on many parts of the body. Principles of Ultra Cision technology: The instruments are attached to a hand piece, which is connected to a generator. The ultrasonic system is situated inside the hand piece and transforms the electric energy into mechanical movement, producing in this way longitudinal vibrations of the blades at approx. 55 k Hz per second. The movement of the blades causes collagen molecules to vibrate inside the tissues, thus forming a coagulum upon their denaturation. This method is especially useful in parenchymatous organs, where dissection can be performed cleanly and with little or no bleeding. Among the applications of Ultra Cision are: esophageal surgery; reflex surgery; gastrectomy; colorectal surgery for Crohn’s disease, diverticulitis, and cancer; laparoscopic cholecystectomy – hepatic resection; pancreatic surgery; adrenalectomy; thyroid surgery; hysterectomy and other gynecologic surgery; and much more! For the general surgeon becoming acquainted with this highly effective new surgical tool, this book represents an ideal introduction, including a step-by-step guide to operative sequences, and tips provided by those who have already gained experience in the modality.
Table of Content
1 Ultra Cision: System and Instruments
2 Principles of Ultrasonic Energy for Cutting and Coagulation
3 Ultra Cision Scalpel and Other Energy Modalities
4 Education, Training, and Personal Experience
5 Esophageal Resection with the Ultra Cision Blade and Shears
6 Reflux Surgery (Nissen and Toupet)
7 Esophageal Myotomy for Achalasia
8 Total Radical Gastrectomy
9 Laparoscopic Assisted Right Hemicolectomy for Crohn’s Disease
10 Open Colorectal Surgery
11 Laparoscopic Treatment of Left Colon Diverticulitis
12 Laparoscopic Colorectal Surgery for Cancer
13 Laparoscopic Cholecystectomy using the 10 mm Ultra Cision Blade (DH 010)
14 Laparoscopic Cholecystectomy using the 5 mm Ultra Cision Curved Shears (LCSC 5)
15 Hepatic Resection with the Ultra Cision 10 mm Shears with Rotating Blade for Open Surgery (CS 150 Pistol Grip or CS 6S Needle-Holder Grip) and the Ultra Cision Blade (DH 010)
16 Hepatic Surgery with the Ultra Cision Blade for Open Surgery (DH 105)
17 Laparoscopic Splenectomy with the 5 or 10 mm Ultra Cision Shears (LCSC 5 or LCS 15)
18 Laparoscopic Splenectomy with the 10 mm Ultra Cision Shears (LCS 15 Pistol Grip or LCS 6S Needle-Holder Grip) with Rotating Blade
19 Pancreatic Resection with the 10 mm Ultra Cision Shears for Open (CS 6S) and Laparoscopic Surgery (LCS 15)
20 Laparoscopic Adrenalectomy with the 10 mm Ultra Cision Shears (LCS 15 Pistol Hand Grip or LCS 6S Needle Hand Grip)
21 Thyroid Surgery with the Ultra Cision Blade
22 Minimally Invasive Thyroid Surgery with the Ultra Cision Shears (CS 14C)
23 Thyroid Surgery with the 10 mm Ultra Cision Shears (CS 150 Pistol Grip or CS 6S Needle-Holder Hand Grip) for Open Surgery
24 Laparoscopic Hysterectomy: with or without Ophorectomy
25 Laparoscopic Myomectomy
26 Resection of Deep Infiltrating Endometriosis
27 The Ultra Cision Shears in Major Breast Surgery
28 Axilliary Lymphatic Node Dissection in Breast Surgery
29 Tonsillectomy with the Ultra Cision Scalpel
30 Tonsillectomy and Ultra Cision
31 Orthopedic Exposure for Total Hip Replacement
32 Miscellaneous Knee and Spine Surgery
33 Anterior Endoscopic Approach for the Spine
34 The Ultra Cision Scalpel in Thoracic Surgery
35 Radical Laparoscopic Prostatectomy
About the author
Wolfgang Feil
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