Surgeon SpotlightsWord文档格式.docx
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Surgeon SpotlightsWord文档格式.docx
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mabletosealbloodvesselsbutpatientsfeelprettymiserablefor7to10daysaftersurgery,"
saidDr.Jaffe."
Laserisn'
taseffectiveatsealingvesselsandwhilepatientsmightfeellesspainforoneortwodayspost-operatively,thepainthenincreasestothepointwhereitisjustasbadaswithcautery.Theproblemisthatbothofthesetechnologiesburnthetissue,leavingbehinddamagethatextendsseveralmillimetersbeyondthetonsilbed."
Inearly2011,hemetwitharepresentativefromStarionInstrumentsandlearnedaboutENTceps,abayonet-styleforcepsspecificallydesignedforprocedureswherefineprecision,softtissuesealinganddividingisrequired,suchastonsillectomy,parotidectomy,thyroidectomyanduvulopalatopharyngoplasty.UponputtingENTcepstothetestinhispractice,hewasimmediatelyimpressedbytheresults.
WithENTceps,IcanperformtonsillectomiesinthesamewaythatIdidwiththecautery,butintheendthereisnice,normallookingtissueleftbehindratherthanacharredfield.Theanatomicalfieldisperfect,"
I'
vealsobeenimpressedbythebloodcontrol.InthetimethatI'
vebeenusingENTceps,Ihaven'
thadasinglepost-operativebleed."
Unlikeconventionaldevicesthatusemonopolar,bipolarorultrasonicenergyasmodesofoperation,ENTcepsfeaturesStarion'
spatentedtissueweldingtechnology,whichemploysonlydirectheatandpressuretoquicklyanddelicatelysealanddividesofttissue,minimizingcollateraltissuedamage.AccordingtoDr.Jaffe,ENTceps'
safety,precisionandcontrolhavehadadirectbenefittohispatients.
Becausethereislesstissuedamageandthereforelesspain,theycaneatanddrinksooner,"
Asaresult,they'
veallrecuperatedmuchfaster-twotothreedaysforthekidsandsomehavebeenbacktonormalwithin24hours."
HealsonotesthatENTcepsenableshimtoperformtonsillectomiesinasaferandmoreefficientmanner-inabouthalfthetimeasothertechniques.
IcanperformtonsillectomiessaferandfasterwithENTcepsbecauseIcanclearlyseethetissueplanesandknowthatI'
mnottakingoutanymusclealongwiththetonsiltissue.Withahotsuctioncautery,Idon'
thavethatguarantee,"
PlusIdon'
thavetoworryaboutthegroundingproblemsexperiencedwithcautery,whereifapatientforgetstotellmethatheorshehasabellybuttonringorsomeotherpiercing,theycansufferburnsfromtheelectricalcurrent."
HenowperformstonsillectomiesexclusivelywithENTceps.Becauseofthebenefitsthatitprovidestohispatients,heindicatesthatheplanstouseENTcepsinotherproceduresaswell,includingneckdissectionandparotidectomy.
PatientshavebeenmuchhappierwiththeirresultsfromENTcepstonsillectomiesversusothermodalities,whichmakesmyjobaloteasier,"
WhenIuseENTceps,ItellthepatientthatI'
mperformingthesameprocedurethatI'
veperformedfornearly40yearsbutwithanewtool.Ithenaskhimorhertoreportbackonwhentheynoticedpost-operativepaindiminishingandhowsoontheycanreturntonormalactivities.Sofar,I'
vereceivedpositivefeedbackonallofmyENTcepscases."
∙PaulG.CurcilloII,M.D.
Since2007,PaulG.CurcilloII,M.D.,FACShasusedtheStarionTLS3ThermalLigatingShearstoperformavarietyoflaparoscopicprocedures.TheTLS3featuresStarion'
spatentedTissueWeldingtechnology,whichfocusesthermalenergytosimultaneouslysealanddividesofttissue.CurcillofoundthatbyusingtheTLS3asadissectorandagrasper,aswellasacutterandsealer,hewasabletoimproveefficiencyintheOR.
AstheassociateprofessorandvicechairmanoftheDepartmentofSurgeryanddirectorofminimallyinvasiveandroboticsurgeryatDrexelUniversityCollegeofMedicine,PaulG.CurcilloII,M.D.,FACSisalwayslookingfornewtechnologiestoadvancelaparoscopicsurgery.
PriortousingStarion'
sinstruments,Curcillohadusedacutandsealdevicetoreducethenumberofinstrumentexchangesduringlaparoscopicprocedures,buthewasnotcompletelysatisfiedwiththeresults.Whilethedeviceenabledhimtobothsealanddividetissueandvessels,hestillhadtorelyonotherinstrumentsinordertograspanddissect.
WhenIwasdissectingoutavessel,everytimeIswitchedtoanotherinstrumenttoperformadifferentfunctionIhadtore-identifythevessel,whichsloweddownmyprocedures,"
saidCurcillo.
Thedevicewasalsodifficulttosetup,whichfurtherincreasedproceduretimes."
Setuptimeforthenursingstaffandgettingthesystemupandrunningcouldoftentimesslowthingsdown,"
saidCurcillo."
Theywouldhookitupandtestitandifitdidn'
ttestcorrectly,youwouldhavetostartallover."
AftermeetingwithStarionataconferencein2007,CurcillobeganusingStarion'
sTLS3ThermalLigatingShearsforavarietyoflaparoscopicprocedures,includingstomach,colonandlymphnodesurgery.Hewasveryimpressedbytheresults.
TheTLS3takescutandsealtothenextlevelbycombiningthebestofthreeinstrumentsasopposedtotwo,"
Itdoeseverythingthatacutandsealdevicedoes,plusitcanbeusedtograspanddissect.ByusingtheTLS3,I'
veminimizedinstrumentexchangesandreducedproceduretimes."
TheTLS3andStarion'
snewUniversalPowerSupplyarealsoeasierforthenursingstafftosetup,furtherincreasingefficiencyintheOR."
Thepowersupplyissmall,portableandmuchsimplertouse,"
Itisalittleboxthathangsonapoleandisreadytogo."
∙RobertV.McKeen,M.D.
Inearly2008,RobertV.McKeen,M.D.,FACSbeganusingStarion'
sTLS3ThermalLigatingShearstodissecttissueandvesselsduringbariatricprocedures.Dr.McKeenfoundthatbyusingtheTLS3inplaceofabipolarlaparoscopicsealingdevice,hecouldminimizecollateraltissuedamage,improvetheprecisionofhisdissectionsandmaximizeefficiencyintheOR.
WithobesityratesontheriseacrosstheU.S.,thedemandforbariatricsurgeryisgreaterthaneverbefore.Tomeetthisgrowingdemand,bariatricsurgeonRobertV.McKeen,M.D.,FACSexpandedhispracticetoincludetwofacilities:
ForestSurgeryCenterandGoodSamaritanHospitalinSanJose,California.Dr.McKeenperformstwoofthemostadvancedbariatricprocedures:
laparoscopicgastricbypasssurgeryandtheLAP-BAND®
procedure.
Dr.McKeenhadbeenusingabipolarlaparoscopicsealingdeviceduringtheseproceduresbutwasconcernedthattheheatgeneratedbythedevicewoulddamagesurroundingtissueandvessels."
Wearedissectingveryclosetofragiletissueareassoit'
scrucialthatwepreventanykindofinadvertentinjury,"
saidDr.McKeen."
Otherdevicesthatweregoodforsealinglargervesselswerenotgoodforfinedissection."
In2008,Dr.McKeenfoundasolutionwhenhebeganusingStarion'
sTLS3ThermalLigatingShears.Unlikeconventionalproductsthatusemonopolar,bipolarorultrasonicenergyasmodesofoperation,theTLS3featuresStarion'
sproprietaryTissueWeldingtechnology,whichfocusesthermalenergytosimultaneouslysealanddividesofttissue.
TheTLS3hasaclearpatientsafetybenefit,"
Icanperformacleandissectionwithoutalotofheattransferuparoundtheesophagealgastricjunctionandalongthestomachareawheretherearebothfineandlargerbloodvessels.Thisminimizesbleedinginthesurgicalfield,allowingmetodissectveryclosetothetissuesurface."
TheTLS3deliversthesafetyandprecisionDr.McKeenneedstoperformthemostadvancedbariatricprocedures.
ItcanbequitechallengingtoperformacleandissectionoftheesophagealgastricfatpadforaLAP-BAND®
procedure,buttheTLS3doesthetrickbecauseofitsprecision,saidDr.McKeen."
Asaresult,I'
mmorecomfortableandconfidentintheprocedureitself."
Inaddition,thesimplicityofthetechnologyhasimprovedefficiencyintheOR.
TheTLS3iseasytouse,sothelearningcurvewasminimal,"
MyORstafflovesitbecauseit'
ssimpletosetupandthere'
snotalotofclutter.Ithassavedallofusagreatdealoftimeandeffort."
∙LeighC.McGill,M.D.
In2003,LeighC.McGill,MD,FACS,FAAPbeganusingStarion'
sTissueWeldingtechnologyasasafealternativeforcuttingandsealingduringpediatriclaparoscopicsurgery.ByusingStarion'
sTLS3ThermalLigatingShearsandUniversalPowerSupply(UPS),McGillhasminimizedtheriskofthermalinjuryandreducedequipmentcosts.
Forover25years,LeighC.McGill,MD,FACS,FAAPhasbeendedicatedtoadvancingpediatriccare.HeservedaschairmanoftheDepartmentofSurgeryatPhoenixChildren'
sHospital,clinicalassistantprofessorofsurgeryattheUniversityofArizonaandinstructorinsurgeryfortheMayoClinicArizona.
AsamemberofthePediatricSurgeonsofPhoenixpracticegroup,McGillperformsabroadrangeofpediatricsurgeries,includingnumerouslaparoscopicprocedures.In2003,hewasperforminganissenfundoplicationwhen
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