Surgeon Spotlights.docx

Surgeon Spotlights.docx

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SurgeonSpotlights

∙SurgeonSpotlights

∙DonR.Jaffe,M.D.

DonR.Jaffe,M.D.,anotolaryngologistpracticingatthreeMassachusettshospitals,wasdissatisfiedwiththecollateraltissuedamageinflictedbycauteryandlasermodalities.HeputMicrolineSurgical'sENTceps™touseinhispracticeandfoundthatthedeviceenabledhimtoperformtonsillectomieswithgreatersafety,precisionandcontrol,significantlyreducingpost-operativepainandbleeding.

OtolaryngologistDonR.Jaffe,M.D.hasbeenperformingtonsillectomiesfornearly40years.Inthattime,hehasusednewtechnologiesfortissuesealingandcuttingasthey'veemergedbuthispatientsstillsufferedfromthetypicalpost-operativecomplicationsthatresultfromtheprocedure.

"Withcautery,I'mabletosealbloodvesselsbutpatientsfeelprettymiserablefor7to10daysaftersurgery,"saidDr.Jaffe."Laserisn'taseffectiveatsealingvesselsandwhilepatientsmightfeellesspainforoneortwodayspost-operatively,thepainthenincreasestothepointwhereitisjustasbadaswithcautery.Theproblemisthatbothofthesetechnologiesburnthetissue,leavingbehinddamagethatextendsseveralmillimetersbeyondthetonsilbed."

Inearly2011,hemetwitharepresentativefromStarionInstrumentsandlearnedaboutENTceps,abayonet-styleforcepsspecificallydesignedforprocedureswherefineprecision,softtissuesealinganddividingisrequired,suchastonsillectomy,parotidectomy,thyroidectomyanduvulopalatopharyngoplasty.UponputtingENTcepstothetestinhispractice,hewasimmediatelyimpressedbytheresults.

"WithENTceps,IcanperformtonsillectomiesinthesamewaythatIdidwiththecautery,butintheendthereisnice,normallookingtissueleftbehindratherthanacharredfield.Theanatomicalfieldisperfect,"saidDr.Jaffe."I'vealsobeenimpressedbythebloodcontrol.InthetimethatI'vebeenusingENTceps,Ihaven'thadasinglepost-operativebleed."

Unlikeconventionaldevicesthatusemonopolar,bipolarorultrasonicenergyasmodesofoperation,ENTcepsfeaturesStarion'spatentedtissueweldingtechnology,whichemploysonlydirectheatandpressuretoquicklyanddelicatelysealanddividesofttissue,minimizingcollateraltissuedamage.AccordingtoDr.Jaffe,ENTceps'safety,precisionandcontrolhavehadadirectbenefittohispatients.

"Becausethereislesstissuedamageandthereforelesspain,theycaneatanddrinksooner,"saidDr.Jaffe."Asaresult,they'veallrecuperatedmuchfaster-twotothreedaysforthekidsandsomehavebeenbacktonormalwithin24hours."

HealsonotesthatENTcepsenableshimtoperformtonsillectomiesinasaferandmoreefficientmanner-inabouthalfthetimeasothertechniques.

"IcanperformtonsillectomiessaferandfasterwithENTcepsbecauseIcanclearlyseethetissueplanesandknowthatI'mnottakingoutanymusclealongwiththetonsiltissue.Withahotsuctioncautery,Idon'thavethatguarantee,"saidDr.Jaffe."PlusIdon'thavetoworryaboutthegroundingproblemsexperiencedwithcautery,whereifapatientforgetstotellmethatheorshehasabellybuttonringorsomeotherpiercing,theycansufferburnsfromtheelectricalcurrent."

HenowperformstonsillectomiesexclusivelywithENTceps.Becauseofthebenefitsthatitprovidestohispatients,heindicatesthatheplanstouseENTcepsinotherproceduresaswell,includingneckdissectionandparotidectomy.

"PatientshavebeenmuchhappierwiththeirresultsfromENTcepstonsillectomiesversusothermodalities,whichmakesmyjobaloteasier,"saidDr.Jaffe."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,"saidCurcillo."Itdoeseverythingthatacutandsealdevicedoes,plusitcanbeusedtograspanddissect.ByusingtheTLS3,I'veminimizedinstrumentexchangesandreducedproceduretimes."

TheTLS3andStarion'snewUniversalPowerSupplyarealsoeasierforthenursingstafftosetup,furtherincreasingefficiencyintheOR."Thepowersupplyissmall,portableandmuchsimplertouse,"saidCurcillo."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,"saidDr.McKeen."Icanperformacleandissectionwithoutalotofheattransferuparoundtheesophagealgastricjunctionandalongthestomachareawheretherearebothfineandlargerbloodvessels.Thisminimizesbleedinginthesurgicalfield,allowingmetodissectveryclosetothetissuesurface."

TheTLS3deliversthesafetyandprecisionDr.McKeenneedstoperformthemostadvancedbariatricprocedures.

"ItcanbequitechallengingtoperformacleandissectionoftheesophagealgastricfatpadforaLAP-BAND®procedure,buttheTLS3doesthetrickbecauseofitsprecision,saidDr.McKeen."Asaresult,I'mmorecomfortableandconfidentintheprocedureitself."

Inaddition,thesimplicityofthetechnologyhasimprovedefficiencyintheOR.

"TheTLS3iseasytouse,sothelearningcurvewasminimal,"saidDr.McKeen."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