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https://www.readbyqxmd.com/read/27679070/use-of-the-articulating-enseal-%C3%A2-facilitates-completion-of-complex-single-site-laparoscopic-surgery
#1
P M Osial, T M Walsh, X Guan
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678795/articulating-enseal-to-simply-singe-incision-hysterectomy-with-uterosacral-ligament-suspension
#2
X Guan, T M Walsh, K Blazek, P Osial, D Xu
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27273231/experimental-study-in-pulmonary-artery-sealing-with-a-vessel-sealing-device
#3
Tetsu Yamada, Terumasa Sowa, Toru Bando, Hiroshi Date
BACKGROUND: The development of vessel-sealing devices will facilitate safety in video-assisted thoracoscopic surgery. Our objective was to evaluate the feasibility and safety of sealing pulmonary arteries with the Enseal tissue-sealing device. METHODS: Pulmonary arteries from beagle dogs (mean body weight 13.1 kg, range 10.5-15.4 kg) were divided into 3 groups according to the in-vivo sealing method used (Enseal, ligation, and proximal ligation plus distal Enseal) and extracted to evaluate the pressure tolerance up to 75 mm Hg at the sealed end...
July 2016: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/26387963/laparo-endoscopic-single-site-paraaortic-lymphadenectomy-facilitated-by-a-new-articulating-vessel-sealing-device
#4
Hyun-Jin Choi, Eun Jin Heo, Esun Paik, Tae-Joong Kim
No abstract text is available yet for this article.
November 2015: Gynecologic Oncology
https://www.readbyqxmd.com/read/26139505/heat-injury-to-the-inferior-vena-cava-by-bipolar-tissue-sealer
#5
Akira Chikamoto, Takayoshi Kaida, Kota Arima, Takaaki Higashi, Katsunobu Taki, Satoshi Ida, Hirohisa Okabe, Hidetoshi Nitta, Hiromitsu Hayashi, Daisuke Hashimoto, Masayuki Watanabe, Toru Beppu, Hideo Baba
BACKGROUND: Although energy devices have brought big advantages to surgery, there are few reports about disadvantages. We conducted an animal experiment to clarify the thermal effect of the bipolar tissue sealing system, Enseal™, to adjacent vessels of the inferior vena cava. METHODS: We used an experimental miniature pig for the experiment. After laparotomy and mobilization of the intestine, the inferior vena cava was exposed. We activated the device under two different conditions: In the first group, the so-called contact group (Group C), the blade of Enseal™ touched the surface of the IVC directly...
April 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26070726/laparoscopic-single-site-myomectomy-of-11-cm-intramural-myoma
#6
Xiaoming Guan, Teresa M Walsh, Paulina Osial, Dabao Xu
STUDY OBJECTIVE: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. DESIGN: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. SETTING: Single institution. INTERVENTIONS: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation...
September 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/25945070/consistency-and-sealing-of-advanced-bipolar-tissue-sealers
#7
Edward G Chekan, Mark A Davison, David W Singleton, John Z Mennone, Piet Hinoul
OBJECTIVES: The aim of this study was to evaluate two commonly used advanced bipolar devices (ENSEAL(®) G2 Tissue Sealers and LigaSure™ Blunt Tip) for compression uniformity, vessel sealing strength, and consistency in bench-top analyses. METHODS: Compression analysis was performed with a foam pad/sensor apparatus inserted between closed jaws of the instruments. Average pressures (psi) were recorded across the entire inside surface of the jaws, and over the distal one-third of jaws...
2015: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/25392611/sealing-of-vessels-larger-than-7-millimeters-using-enseal-in-porcine-aorta
#8
Shahida Bibi, Saeed Alblawi, Vamsi Velchuru, Gopichand Thripuraneni, Francisco Quinteros, Jasna Coralic, Slawomir Marecik, John Park, Leela M Prasad
BACKGROUND: The Enseal (Ethicon Endo-Surgery, Blue Ash, Ohio) tissue-sealing device has proven efficacy for ligation of vessels<7 mm in diameter, even with significant supraphysiologic bursting pressures. We aimed to evaluate the safety of Enseal in porcine vessels>7 mm. MATERIALS AND METHODS: The lumbar aortas of pigs that were euthanized for unrelated procedures were harvested. A 5- to 6-cm segment of aorta was sealed using the Enseal device. The opposite end was attached to a pressure-testing device to measure pressures at leak or bursting...
July 2014: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/25374656/strategies-to-optimize-the-performance-of-robotic-assisted-laparoscopic-hysterectomy
#9
N Lambrou, R E Diaz, P Hinoul, D Parris, K Shoemaker, A Yoo, M Schwiers
A hybrid technique of robot-assisted, laparoscopic hysterectomy using the ENSEAL(®) Tissue Sealing Device is described in a retrospective, consecutive, observational case series. Over a 45 month period, 590 robot-assisted total laparoscopic hysterectomies +/- oophorectomy for benign and malignant indications were performed by a single surgeon with a bedside assistant at a tertiary healthcare center. Patient demographics, indications for surgery, comorbidities, primary and secondary surgical procedures, total operative and surgical time, estimated blood loss (EBL), length of stay (LOS), complications, transfusions and subsequent readmissions were analyzed...
2014: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/25125207/pilot-study-of-pulmonary-arterial-branch-sealing-using-energy-devices-in-an-ex-vivo-model
#10
COMPARATIVE STUDY
Moishe Liberman, Mohamed Khereba, Eric Goudie, Jordan Kazakov, Vicky Thiffault, Edwin Lafontaine, Pasquale Ferraro
OBJECTIVE: Vascular endostaplers are bulky and can be dangerous when dividing small pulmonary arterial (PA) branch vessels during video-assisted thoracoscopic lobectomy. We aimed to evaluate and compare the immediate efficacy of modern energy sealing devices in an ex vivo PA sealing model. METHODS: Patients undergoing anatomical lung resection or lung transplantation were recruited for a prospective cohort pilot study. Four devices were evaluated: Harmonic Ace (Ethicon, Cincinnati, Ohio), Thunderbeat (Olympus, Tokyo, Japan), LigaSure (Covidien, Boulder, Colo), and Enseal (Ethicon; Cincinnati, Ohio)...
December 2014: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/25074733/comparison-of-the-value-of-tissue-sealing-devices-for-thoracoscopic-pulmonary-lobectomy-in-small-children-a-first-report
#11
COMPARATIVE STUDY
Hiroyuki Koga, Kenji Suzuki, Kinya Nishimura, Manabu Okawada, Takashi Doi, Geoffrey J Lane, Eiichi Inada, Tadaharu Okazaki, Atsuyuki Yamataka
Accurate division and sealing of lung parenchyma particularly in cases of total or near total incomplete fissure are crucial for preventing air leakage following thoracoscopic pulmonary lobectomy (TPL). However, conventional endoscopic stapling devices cannot be used during TPL in small children because of limited space. Consequently, Ligasure (LS) and Enseal (ES) devices are being used instead. We are the first to compare LS and ES for efficacy and efficiency during TPL. Of 26 TPL (6 upper, 3 middle, and 17 lower) performed for congenital adenomatoid malformation (n = 16) and sequestration (n = 10), incomplete fissure was found in 14...
September 2014: Pediatric Surgery International
https://www.readbyqxmd.com/read/24893872/usefulness-of-vessel-sealing-devices-for-%C3%A2-7-mm-diameter-vessels-a-randomized-controlled-trial-for-human-thoracoscopic-lobectomy-in-primary-lung-cancer
#12
RANDOMIZED CONTROLLED TRIAL
Masayuki Toishi, Kazuo Yoshida, Hiroyuki Agatsuma, Takao Sakaizawa, Takashi Eguchi, Gaku Saito, Masahiro Hashizume, Kazutoshi Hamanaka, Takayuki Shiina
OBJECTIVES: Vessel-sealing devices (VSDs) are widely used for various surgical procedures, including thoracoscopic surgery, but very few reports have compared their safety and usefulness with human thoracoscopic lobectomy procedures not employing VSDs. METHODS: Primary lung cancer patients for whom a thoracoscopic lobectomy involving mediastinal lymph node dissection was planned in our department from April 2011 to March 2013 were recruited for the study. Patients were randomly allocated to a control group (n = 14) or a VSD group (n = 44), which comprised three sub-groups, namely EnSeal (n = 17), LigaSure (n = 15) and Harmonic (n = 12)...
September 2014: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/24462850/comparison-of-the-use-of-ligasure-halo-pks-cutting-forceps-and-enseal-tissue-sealer-in-total-laparoscopic-hysterectomy-a-randomized-trial
#13
RANDOMIZED CONTROLLED TRIAL
Hakan Aytan, Hakan Nazik, Raziye Narin, Murat Api, Ekrem C Tok
STUDY OBJECTIVE: There are many instruments with different energy modalities or with different properties that are available for use in total laparoscopic hysterectomy. The aim of the study was to compare the use of LigaSure (Valleylab, Boulder, CO), HALO PKS cutting forceps (Gyrus-ACMI, Maple Grove, MA), and ENSEAL tissue sealer (SurgRx, Inc. Redwood City, CA) in total laparoscopic hysterectomy with respect to operation time and blood loss as main outcomes. Perioperative complications, return of gastrointestinal activity, and hospitalization time were assessed as secondary outcomes...
July 2014: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/24081850/use-of-the-enseal%C3%A2-g2-tissue-sealer-in-gynecologic-surgery
#14
James Dana Kondrup, Fran Anderson, Becky Quick
Minimally invasive surgery (MIS) has become the standard of care for a variety of surgical conditions, and reliable vessel sealing and precise cutting are essential. A variety of tissue-sealing devices have been used successfully to decrease operating time and control bleeding during hysterectomy and other MIS gynecologic procedures. One development involves the next generation of advanced bipolar devices by ETHICON (Ethicon Endo-Surgery Inc., Cincinnati, OH), called ENSEAL® G2 Tissue Sealers. Tip improvements to the ENSEAL® have included stronger jaws and a welded positive electrode in the stationary jaw, thus enabling the new ENSEAL® G2 Tissue Sealer to provide reliable vessel sealing and precise cutting all in the same instrument...
September 2013: Surgical Technology International
https://www.readbyqxmd.com/read/23791399/laparoscopic-supracervical-hysterectomy-using-enseal-vs-standard-bipolar-coagulation-technique-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Ralf Rothmund, Bernhard Kraemer, Sara Brucker, Florin-Andrei Taran, Markus Wallwiener, Andrea Zubke, Diethelm Wallwiener, Wolfgang Zubke
OBJECTIVE: To compare the EnSeal device with standard bipolar coagulation forceps in laparoscopic supracervical hysterectomy (LASH). DESIGN: Prospective, randomized, controlled trial (Canadian Task Force classification I). SETTING: University hospital. PATIENTS: One hundred sixty patients who underwent LASH. INTERVENTION: Eighty patients underwent LASH using the EnSeal device (experimental group), and 80 patients underwent LASH using standard bipolar coagulation forceps (control group) (www...
September 2013: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/23592161/optimum-cystic-duct-closure-a-comparative-study-using-metallic-clips-enseal-and-endoloop-in-swine
#16
COMPARATIVE STUDY
Derek McVay, Daniel Nelson, Christopher R Porta, Kelly Blair, Matthew Martin
BACKGROUND: Metal clips are commonly used to secure the cystic duct during cholecystectomy, although use of an ENDOLOOP (Ethicon Endo-Surgery, Blue Ash, OH) is often touted as a more secure closure when postoperative endoscopic retrograde cholangiopancreatography (ERCP) is anticipated. The objective of this study was to test the strength of 3 different cystic duct closure methods in a model simulating postoperative biliary insufflation. METHODS: The extrahepatic biliary system, including common bile duct, gallbladder, and cystic duct, was harvested en bloc from 22 swine postmortem...
May 2013: American Journal of Surgery
https://www.readbyqxmd.com/read/22678171/efficacy-and-safety-of-the-novel-electrosurgical-vessel-sealing-and-cutting-instrument-bicision%C3%A2
#17
Ralf Rothmund, Bernhard Kraemer, Felix Neis, Sara Brucker, Markus Wallwiener, Ali Reda, Andrea Hausch, Marcus Scharpf, Mara Natascha Szyrach
BACKGROUND: The use of energy-based tissue-sealing and cutting instruments is becoming more and more popular in visceral, urological, and gynecological surgery. For their safe and efficacious use in clinical practice, such instruments have to reliably seal vessels with a minimal sealing failure rate, cause minimal thermal damage to adjacent tissue, and have good cutting qualities. METHODS: The efficacy and safety of the novel energy-based instrument for dissection, hemostasis and cutting (BiCision(®), ERBE) was compared to a commercially available device (EnSeal(®), Ethicon Endo-Surgery)...
November 2012: Surgical Endoscopy
https://www.readbyqxmd.com/read/22455599/evaluation-of-the-novel-bipolar-vessel-sealing-and-cutting-device-bicision%C3%A2-in-a-porcine-model
#18
COMPARATIVE STUDY
Mara Natascha Szyrach, Pascal Paschenda, Mamdouh Afify, Daniel Schäller, René Hany Tolba
BACKGROUND: Energy-based technologies for tissue sealing and cutting are increasingly supplementing current standards used for haemostasis and dissection during laparoscopic surgery. For their safe and efficacious use in clinical practice, these instruments have to guarantee sufficient burst resistance and low thermal damage to adjacent tissue in combination with good cutting characteristics. MATERIAL AND METHODS: The novel laparoscopic, bipolar electrosurgical sealing and cutting instrument BiCision® was compared to a commercially available laparoscopic device (EnSeal(™)) on visceral and peripheral arteries and veins in an animal model...
November 2012: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/22422515/initial-experience-using-a-bipolar-radiofrequency-ablation-device-for-hemostasis-during-thyroidectomy
#19
Keith Baldwin, Michelle Haniff, Ponnandai Somasundar
BACKGROUND: The purpose of this study was to evaluate a novel bipolar radiofrequency ablation (BRFA) device using nanotechnology for division of all named vessels during thyroidectomy. METHODS: All thyroidectomies from January 2008 to July 2010 at a single institution used the BRFA device (EnSeal, Ethicon Endo-Surgery, Cincinnati, OH) for hemostasis. Clinicopathologic data and complications were recorded and compared with existing literature using other energy devices...
January 2013: Head & Neck
https://www.readbyqxmd.com/read/22366131/laparoscopic-cryptorchidectomy-and-ovariectomy-in-standing-horses-using-the-enseal%C3%A2-tissue-sealing-device
#20
Miklós Pál Dunay, Tibor Németh, Zita Makra, Simon Izing, Gábor Bodó
In the present series of cases, 8 laparoscopic cryptorchidectomies and 4 laparoscopic ovariectomies were carried out in sedated standing horses. Sedation involved a lesser anaesthesiological risk than does general anaesthesia. As compared to laparotomic exposure, the minimally invasive laparoscopic intervention provided better visualisation, shorter operative time and faster recovery. The blood vessels supplying the testes and ovaries and the suspensory ligaments of the organs were sealed and cut with EnSeal®, an adaptive bipolar electrosurgical blood vessel- and tissue-sealing device...
March 2012: Acta Veterinaria Hungarica
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