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B 775 LEVD XI12 GB


Catalog excerpts

B 775 LEVD XI12 GB - 1

Laparoscopic Single-channel Varicocele Dissection (LEVD) Technique · Instrument Set · Implementation

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New technique in pediatric surgery The technique presented below is a new surgical procedure in pediatric surgery. By contrast with previous laparoscopic procedures, the surgeon only uses one port through which the telescope and instrument set can be inserted. A compact Operation Set was created for this innovative method in the course of cooperation between PD Dr. med. Ulf Bühligen and Richard Wolf. PD Dr. med. Ulf Bühligen Leipzig University Hospital Hospital and Clinic for Pediatric Surgery Indication: Varicocele testis occurs in approximately 5  –10 ...

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Operating procedure Initial preparation Local application of 2 ml 1 % Carbostesin. The skin incision is a longitudinal incision in the navel (mini-laparotomy). Gas insufflation up to 8 mm Hg is carried out via the 5.5 mm trocar. A 5.5 mm operating laparoscope with integrated 3.5 mm working channel (Richard Wolf) is used. Other access passages and working trocars are not needed. Assessment and positioning The abdomen is assessed, the varicocele side and the opposite side are inspected, the ductus deferens is identified. The patient is positioned slightly inclined to the right in a head-down...

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RCHRRD rTT^i The operation is concluded with complete vessel dissection and visible distance be- 5.1 Partial dissection 5.2 Complete dissection We use 3 x 0 Vicryl threads single button to close the peritoneum at the navel. We suture the main wound with 4x0 Vicrylrapid threads. We use short tension tapes posi- tioned longitudinally over the wound as a wound dressing. 6.1 Wound closure 6.2 Wound dressing After one week, no scar can be seen.

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LEVD – System Overview Fiberoptic telescope with 50,000 pixel image guide for unsurpassed image quality given the overall instrument and channel size 50,000 pixel image guide Light fibres 3.5 mm working channel Irrigation or insufflation connector Light cable connector 3.5 mm working channel for the use of 3.5 mm standard instrument set Extremely lightweight 5.5 mm plastic trocar sleeve with insufflation connector 5.5 mm Surgical Laparoscope Set comprising: Surgical laparoscope with 3.5 mm working channel, 0° viewing direction, silicate image guide (8920.401), seal (8920.311), seal cap...

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LEVD – System Overview Self-retaining plastic trocar sleeve, 5.5 mm, WL 105 mm, autoclavable, with insufflation stopcock, incl. membrane valve 89.103 (10 units) 8919.353 For introduction: Trocar, conical with blunt tip 8919.3511 Trocar, conical with sharp tip 8919.3512 Trocar, with pyramid-shaped tip 8919.3513 Atraumatic grasping forceps modular, double-action, ø 3.5 mm, WL 310 mm, insulated 8391.2044 Holding forceps "Babcock" modular, double-action, ø 3.5 mm, WL 310 mm, insulated8391.2554 Hook scissors modular, movable, ø 3.5 mm, WL 310 mm, insulated 8391.0143 Scissors "Metzenbaum"...

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