Surgeon SpotlightsWord文档格式.docx

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