Ultrasonic Energy for Cutting, Coagulating and Dissecting （2004. 220 p. w. 400 figs.）

Ed. by Wolfgang Feil

Thieme（2004発売）

• 製本 Hardcover:ハードカバー版／ページ数 215 p.
• 商品コード 9783131275219

Full Description

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.Principles of UltraCision 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 kHz 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 UltraCision are:esophageal surgeryreflex surgerygastrectomycolorectal surgery for Crohn's disease, diverticulitis, and cancerlaparoscopic cholecystectomy - hepatic resectionpancreatic surgeryadrenalectomythyroid surgeryhysterectomy and other gynecologic surgeryand 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.

Contents

1 UltraCision2 Principles of Ultrasonic Energy for Cutting and Coagulation3 UltraCision Scalpel and Other Energy Modalities4 Education, Training, and Personal Experience5 Esophageal Resection with the UltraCision Blade and Shears6 Reflux Surgery (Nissen and Toupet)7 Esophageal Myotomy for Achalasia8 Total Radical Gastrectomy9 Laparoscopic Assisted Right Hemicolectomy for Crohn's Disease10 Open Colorectal Surgery11 Laparoscopic Treatment of Left Colon Diverticulitis12 Laparoscopic Colorectal Surgery for Cancer13 Laparoscopic Cholecystectomy using the 10 mm UltraCision Blade (DH 010)14 Laparoscopic Cholecystectomy using the 5 mm UltraCision Curved Shears (LCSC 5)15 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 (DH 010)16 Hepatic Surgery with the UltraCision Blade for Open Surgery (DH 105)17 Laparoscopic Splenectomy with the 5 or 10 mm UltraCision Shears (LCSC 5 or LCS 15)18 Laparoscopic Splenectomy with the 10 mm UltraCision Shears (LCS 15 Pistol Grip or LCS 6S Needle-Holder Grip) with Rotating Blade19 Pancreatic Resection with the 10 mm UltraCision Shears for Open (CS 6S) and Laparoscopic Surgery (LCS 15)20 Laparoscopic Adrenalectomy with the 10 mm UltraCision Shears (LCS 15 Pistol Hand Grip or LCS 6S Needle Hand Grip)21 Thyroid Surgery with the UltraCision Blade22 Minimally Invasive Thyroid Surgery with the UltraCision Shears (CS 14C)23 Thyroid Surgery with the 10 mm UltraCision Shears (CS 150 Pistol Grip or CS 6S Needle-Holder Hand Grip) for Open Surgery24 Laparoscopic Hysterectomy: with or without Ophorectomy25 Laparoscopic Myomectomy26 Resection of Deep Infiltrating Endometriosis27 The UltraCision Shears in Major Breast Surgery28 Axilliary Lymphatic Node Dissection in Breast Surgery29 Tonsillectomy with the UltraCision Scalpel30 Tonsillectomy and UltraCision31 Orthopedic Exposure for Total Hip Replacement32 Miscellaneous Knee and Spine Surgery33 Anterior Endoscopic Approach for the Spine34 The UltraCision Scalpel in Thoracic Surgery35 Radical Laparoscopic Prostatectomy