Feil Wolfgang, Dallemagne Bernard, Degueldre Michel et al. (eds.) Ultrasonic Energy for Cutting, Coagulating, and Dissecting

Thieme, 2005. — 241 p. — ISBN: 9783131627711Ultrasonic 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.UltraCision: System and Instruments
Principles of Ultrasonic Energy for Cutting
Principles of ultrasonic energy for cutting and coagulating
Comparision of the Harmonic Scalpel and other energy modalities
Education, training, and personal experience
MIS and open esophageal surgery
Reflux surgery (Nissen & Toupet)
Esophageal Myotomy for Achalasia
Total radical gastrectomy
Laparoscopic resection for Crohn's desease
Open colorectal surgery
Laparoscopic resection for diverticulitis
Lap. resection for cancer
Laparoscopic cholecystectomy using the hook
Laparoscopic cholecystectomy using the ultrasonic shears
Hepatic resection with the shears
Hepatic surgery with the ultrasonic hook
Laparoscopic Splenectomy with the 5mm or 10mm ultrasonic shears
Laparoscopic Splenectomy with the 10mm ultrasonic shears with the rotating blade
Pancreatic surgery
Laparoscopic Adrenalectomy with the 10mm Ultrasonic Shears
Thyroid surgery with the hook
MIS thyroid surgery
Thyroid surgery with the 10mm ultrasonic shears
Laparoscopic Hysterectomy with or without Ophorectomy
Laparoscopic Myomectomy
Endometriosis
The Ultracision shears in major breast surgery
Axilliary lymphatic node dissection in breast surgery
Tonsillectomy with the Harmonic Scalpel
Orthopedic exposure for total hip replacement
Knee and spine surgery
Laparoscopic spine surgery
Vascular and Thoracic surgery
Laparoscopic total prostatectomy