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9781588900654

Ultrasonic Energy For Cutting, Coagulating, And Dissecting

by ; ; ; ;
  • ISBN13:

    9781588900654

  • ISBN10:

    1588900657

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2004-11-30
  • Publisher: Thieme Medical Pub
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Summary

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 UltraCision products, for use in surgery on many parts of the body.Among the applications of UltraCision 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.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 Contents

UltraCision: System and Instruments
1(13)
W. Feil
Generator
1(2)
Silicon Tube/Cable and Hand Piece with Ultrasonic Transducer
3(1)
Blade Wrench
4(1)
Test Tip
4(1)
The Blades
5(3)
The Shears
8(5)
The Hand-Activated Blade
13(1)
Principles of Ultrasonic Energy for Cutting and Coagulation
14(11)
W. Feil
Premises for the Development of New Ultrasonically Activated Instruments
14(1)
Ultrasonic Energy
15(1)
Four Qualities of Action: Cutting, Cavitation, Coaptation, Coagulation
16(7)
Cutting
16(2)
Cavitation
18(2)
Coaptation
20(1)
Coagulation
21(1)
Synergy: The Principle of Practical Use
21(2)
Tissue Alterations with UltraCision and Electro-surgery
23(1)
Local Tissue Temperature
23(1)
Depth of Energy Penetration
23(1)
Lateral Energy Spread
24(1)
Lateral Heat Emission
24(1)
Conclusion
24(1)
UltraCision Scalpel and Other Energy Modalities
25(10)
W. Feil
Principles of High-Frequency Surgery
25(1)
Disadvantages of HF Surgery
25(3)
Technological Advantages of the UltraCision Scalpel
28(1)
Infrared Thermography
29(1)
UltraCision (UC) Versus Electrosurgery (HF): Liver Ex Vivo
29(2)
UltraCision: Mesentery Ex Vivo
31(1)
UltraCision and Electrocautery In Vivo
32(1)
UltraCision and Its Competitors
32(2)
Suggested Reading
34(1)
Education, Training, and Personal Experience
35(15)
W. Feil
UltraCision in Practical Use
35(1)
Implementation of UltraCision
35(1)
Practical Experience and Development of New Instruments in Open Surgery
36(5)
Laparotomy
36(1)
Thyroid Surgery
37(1)
Esophageal Myotomy
38(1)
Esophageal Resection
38(1)
Gastrectomy
38(1)
Colon and Rectum
39(2)
Liver Resection
41(1)
Pancreas Resection
41(1)
Practical Experience and Development of New Instruments in Laparoscopic Surgery
41(7)
Laparoscopic Cholecystectomy
41(2)
Laparoscopic Reflux Surgery
43(4)
Laparoscopic Hernia Operation (TAPP Repair)
47(1)
Laparoscopic Colon Surgery
48(1)
Advantages of UltraCision
48(1)
Costs
48(1)
Suggested Reading
49(1)
Esophageal Resection with the UltraCision Blade and Shears
50(7)
B. Walther
Indication and Preoperative Management
50(1)
Operation
50(4)
Anastomosis in the Neck
51(1)
Anastomosis in the Chest
52(2)
Summary of the Esophagectomy Procedure
54(1)
Hints and Pitfalls
54(1)
Personal Experience
54(1)
Discussion
55(1)
References
55(2)
Reflux Surgery (Nissen and Toupet)
57(8)
O. J. McAnena
Indication and Preoperative Management
57(1)
Operation
58(4)
Laparoscopic Nissen Fundoplication
58(2)
Toupet Fundoplication
60(2)
Hints and Pitfalls
62(1)
Personal Experience
62(1)
Discussion
63(1)
References
64(1)
Esophageal Myotomy for Achalasia
65(6)
O.J. McAnena
C. Power
D. Maguire
Indication and Preoperative Management
65(1)
Operation
65(4)
Laparoscopic Technique
65(2)
Thoracoscopic Technique
67(1)
Summary of the Laparoscopic Myotomy
68(1)
Hints and Pitfalls
69(1)
Discussion
69(1)
References
70(1)
Total Radical Gastrectomy
71(4)
E. C. Tsimoyiannis
Indication and Preoperative Management
71(1)
Operation
71(1)
Hints and Pitfalls
72(1)
Personal Experience
72(2)
Discussion
74(1)
References
74(1)
Laparoscopic Assisted Right Hemicolextomy for Crohn's Disease
75(6)
A. D'Hoore
Indication and Preoperative Management
75(1)
Operation
75(4)
Hints and Pitfalls
79(1)
Personal Experience
79(1)
Discussion
79(1)
References
80(1)
Open Colorectal Surgery
81(7)
H. R. Nurnberger
Indication and Preoperative Management
81(1)
Operation
81(3)
Right and Left Hemicolectomy
81(2)
Low Anterior Resection
83(1)
Hints and Pitfalls
84(1)
Personal Experience
85(1)
Discussion
86(1)
References
86(2)
Laparoscopic Treatment of Left Colon Diverticulitis
88(7)
F. Psalmon
Indication and Preoperative Management
89(1)
Operation
89(4)
Strategy
89(1)
Large Resection
89(2)
Limited Resection
91(1)
Difficult Conditions
91(2)
Hint and Pitfalls
93(1)
Personal Experience
93(1)
Discussion
93(1)
Suggested Reading
94(1)
Laparoscopic Colorectal Surgery for Cancer
95(6)
H. R. Nurnberger
Indication and Preoperative Management
95(1)
Operation
95(3)
Hints and Pitfalls
98(1)
Personal Experience
99(1)
Discussion
99(1)
References
99(2)
Laparoscopic Cholecystectomy using the 10 mm UltraCision Blade (DH 010)
101(7)
R. Perunovic
Indication and Preoperative Management
101(1)
Operation
101(4)
Hints and Pitfalls
105(1)
Personal Experience
105(1)
Discussion
106(1)
References
106(2)
Laparoscopic Cholecystectomy using the 5 mm UltraCision Curved Shears (LCSC 5)
108(5)
E. C. Tsimoyiannis
Indications and Preoperative Management
108(1)
Operation
108(2)
Hints and Pitfalls
110(1)
Personal Experience
110(1)
Discussion
111(1)
References
112(1)
Hepatic Resection with the UltraCision 10 mm Shears with Rotating Blade for Open Surgery (CS 150 Pistol Grip or CS 6S Needle-Holder Grip) and the UltraCision Blade (DH010)
113(5)
D. C. Broering
E.-G. Achilles
X. Rogiers
Indication and Preoperative Management
113(1)
Operation
113(1)
Procurement of the left lateral liver segment for living-related liver transplantation and in situ split technique
113(1)
Hints and Pitfalls
114(1)
Personal Experience
114(1)
Discussion
115(1)
References
116(2)
Hepatic Surgery with the UltraCision Blade for Open Surgery (DH 105)
118(5)
P. Gertsch
Indication and Preoperative Management
118(1)
Operation
118(1)
Hints and Pitfalls
119(1)
Personal Experience
119(2)
Discussion
121(1)
References
122(1)
Laparoscopic Splenectomy with the 5 or 10 mm UltraCision Shears (LCSC 5 or LCS 15)
123(4)
T. Reck
Indication and Preoperative Management
123(1)
Operation
123(2)
Hints and Pitfalls
125(1)
Personal Experience
125(1)
Discussion
125(1)
References
126(1)
Laparoscopic Splenectomy with the 10 mm UltraCision Shears (LCS 15 Pistol Grip or LCS 6S Needle-Holder Grip) with Rotating Blade
127(5)
C. M. S. Royston
D. Zacharoulis
P. C. Sedman
Indication and Preoperative Management
127(1)
Operation
127(3)
Hints and Pitfalls
130(1)
Personal Experience
131(1)
Discussion
131(1)
Suggested Reading
131(1)
Pancreatic Resection with the 10 mm UltraCision Shears for Open (CS 6S) and Laparoscopic Surgery (LCS 15)
132(8)
P. C. Giulianotti
Indication and Preoperative Management
132(1)
Operation
133(3)
Right Pancreatectomy
133(2)
Laparoscopic Left Pancreatectomy
135(1)
Hints and Pitfalls
136(2)
Right Pancreatectomy
136(1)
Laparoscopic Left Pancreatectomy
137(1)
Personal Experience
138(1)
Discussion
138(1)
References
139(1)
Laparoscopic Adrenalectomy with the 10 mm UltraCision Shears (LCS 15 Pistol Hand Grip or LCS 6S Needle Hand Grip)
140(6)
C. Haglund
J. Siren
Indication and Preoperative Management
140(1)
Operation
140(3)
Lateral Transabdominal Laparoscopic Adrenalectomy
141(2)
Lateral Extraperitoneal Videoscopic Adrenalectomy
143(1)
Posterior Extraperitoneal Videoscopic Adrenalectomy
143(1)
Hints and Pitfalls
143(1)
Personal Experience
144(1)
Discussion
144(1)
References
145(1)
Thyroid Surgery with the UltraCision Blade
146(7)
W. Feil
Indication and Preoperative Management
146(1)
Operation
146(4)
Hints and Pitfalls
150(1)
Personal Experience
151(1)
Discussion
152(1)
Suggested Reading
152(1)
Minimally Invasive Thyroid Surgery with the UltraCision Shears (CS 14C)
153(4)
M. Gagner
W. B. Inabnet
Indication and Preoperative Management
153(1)
Operation
153(2)
Hints and Pitfalls
155(1)
Personal Experience
155(1)
Discussion
156(1)
References
156(1)
Thyroid Surgery with the 10 mm UltraCision Shears (CS 150 Pistol Grip or CS 6S Needle-Holder Hand Grip) for Open Surgery
157(4)
C. Haglund
P. Voutilainen
Indication and Preoperative Management
157(1)
Operation
157(2)
Total Lobectomy and Thyroid ectomy
157(2)
Hints and Pitfalls
159(1)
Personal Experience
159(1)
Discussion
160(1)
References
160(1)
Laparoscopic Hysterectomy: with or without Ophorectomy
161(6)
M. Kauko
Indication and Preoperative Management
161(1)
Operation
162(3)
Hints and Pitfalls
165(1)
Personal Experience
165(1)
Discussion
166(1)
References
166(1)
Laparoscopic Myomectomy
167(6)
M. Degueldre
J. Vandromme
Indication and Preoperative Management
167(1)
Ultrasonography
167(1)
Medical Therapy
167(1)
Operation
167(2)
Hints and Pitfalls
169(2)
Discussion
171(1)
References
171(2)
Resection of Deep Infiltrating Endometriosis
173(7)
W. Feil
J. Scholler
Indication and Preoperative Management
173(1)
Operation
173(4)
Hints and Pitfalls
177(1)
Personal Experience
178(1)
Discussion
178(1)
Suggested Reading
179(1)
The UltraCision Shears in Major Breast Surgery
180(5)
G. Lesti
F. Ciampaglia
C. Lanci
A. L. Sardellone
Indication and Preoperative Management
180(1)
Operation
180(2)
Hints and Pitfalls
182(1)
Personal Experience
182(2)
Discussion
184(1)
Suggested Reading
184(1)
Axillary Lymphatic Node Dissection in Breast Surgery
185(4)
F. Quenet
Indication and Preoperative Management
185(1)
Operation
185(1)
Hints and Pitfalls
186(1)
Personal Experience
187(1)
Discussion
187(1)
References
187(2)
Tonsillectomy with the UltraCision Scalpel
189(3)
H. Lopponen
Indication and Preoperative Management
189(1)
Operation
189(1)
Hints and Pitfalls
190(1)
Personal Experience
190(1)
Discussion
190(1)
References
191(1)
Tonsillectomy and UltraCision
192(3)
G. Bates
N. Steventon
Indication and Preoperative Management
192(1)
Operation
192(1)
Hints and Pitfalls
193(1)
Personal Experience
194(1)
Discussion
194(1)
References
194(1)
Orthopedic Exposure for Total Hip Replacement
195(3)
T. Heier
Indication and Preoperative Management
195(1)
Operation
195(1)
Hints and Pitfalls
196(1)
Personal Experience
196(1)
Discussion
196(1)
References
197(1)
Miscellaneous Knee and Spine Surgery
198(6)
R. Eyb
Indication and Preoperative Management
198(1)
Knee Surgery
198(1)
Spine Surgery
198(1)
Operation
198(3)
Hints and Pitfalls
201(1)
Knee Surgery
201(1)
Spine Surgery
201(1)
Personal Experience
201(1)
Knee Surgery
201(1)
Spine Surgery
201(1)
Discussion
202(1)
References
203(1)
Anterior Endoscopic Approach for the Spine
204(7)
J. Burgos
F.J. Lozano
S. Amaya Alarcon
Indication and Preoperative Management
204(1)
Thorascopic Spine Surgery
204(1)
Operation
204(1)
Hints and Pitfalls
205(1)
Personal Experience
205(1)
Discussion
206(1)
Thoracolumbar Anterior Endoscopic Surgery
206(1)
Operation
206(1)
Hints and Pitfalls
206(1)
Personal Experience
207(1)
Discussion
207(1)
Retroperitoneal Endoscopic Approach to the Lumbar Spine
207(1)
Operation
207(1)
Hints and Pitfalls
208(1)
Personal Experience
208(1)
Discussion
208(1)
Transperitoneal Endoscopic Approach
208(1)
Operation
208(1)
Hints and Pitfalls
209(1)
Personal Experience
209(1)
Discussion
209(1)
References
209(2)
The UltraCision Scalpel in Thoracic Surgery
211(5)
R. Jancovici
L. Lang-Lazdunski
X. Keranel
F. Pons
Thoracoscopic Sympathectomy
211(1)
Indication and Preoperative Management
211(1)
Operation
211(1)
Hints and Pitfalls
211(1)
Personal Experience
212(1)
Discussion
212(1)
Thoracoscopic Splanchnicectomy
212(1)
Indication and Preoperative Management
212(1)
Operation
212(1)
Hints and Pitfalls
213(1)
Personal Experience
213(1)
Discussion
214(1)
Thoracoscopic Pericardial Window
214(1)
Indication and Preoperative Management
214(1)
Operation
214(1)
Hints and Pitfalls
214(1)
Discussion
214(1)
References
214(2)
Radical Laparoscopic Prostatectomy
216(8)
H. Mignot
Indication and Preoperative Management
216(1)
Operation
216(6)
Hints and Pitfalls
222(1)
Discussion
223(1)
Suggested Reading
223(1)
Index 224

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