Ultrasonic Energy for Cutting, Coagulating and Dissecting (Google eBook)

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Thieme, Jan 1, 2011 - Medical - 240 pages
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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 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.
  

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Contents

System and Instruments
1
Operation
2
The Shears
8
Principles of Ultrasonic Energy for Cutting
14
Tissue Alterations with UltraCision and Electro
23
Infrared Thermography
29
Education Training
35
Esophageal Resection with
50
41
139
Personal Experience
144
48
145
Hints and Pitfalls
150
Discussion
156
Operation
162
Hints and Pitfalls
169
49
171

Reflux Surgery Nissen and Toupet
57
Discussion
63
Hints and Pitfalls
69
Laparoscopic Assisted Right Hemicolex
75
38
80
Open Colorectal Surgery
81
Laparoscopic Treatment of Left Colon
88
39
94
Laparoscopic Cholecystectomy using
101
Hints and Pitfalls
110
References
116
References
122
Discussion
125
Personal Experience
131
Personal Experience
138
Hints and Pitfalls
177
Hints and Pitfalls
182
50
184
Tonsillectomy with the UltraCision
189
51
191
Orthopedic Exposure for Total
195
52
197
Hints and Pitfalls
201
Personal Experience
207
54
210
Hints and Pitfalls
213
55
216
Hints and Pitfalls
222
57
224
Copyright

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About the author (2011)

Professor, Department of Surgery, Donau Hospital, Vienna, Austria

Head of Department Gynecology & Obstetrics, C.H.U. Saint-Pierre, Brussels, Belgium

Associate Professor, Dept. of Surgery, Lund University Hospital, Lund, Sweden

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