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Advances in Abdominal Surgery Instrumentation
A variety of modalities that cut and coagulate tissue make procedures easier for surgeons and safer for patients.
Sharona Ross, MD, FACS
Publish Date: December 7, 2021   |  Tags:   Patient Safety General Surgery
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TWO-IN-ONE Integrated devices that can cut and seal tissue offer surgeons maximum control and require only a single member of the OR team to hold a grasper for the procedure to proceed.

Several years ago, a 96-year-old woman who was experiencing severe chest pain came to see me. She could no longer eat and explained that — for 40 years! — she had been repeatedly diagnosed with a paraesophageal hernia. Inexplicably, at no time was this woman told there were surgical interventions that could help her. Over the years, the untreated hernia caused her small bowel, stomach and spleen to move into her chest, taking the room her lungs and heart needed to function properly, which explained her shortness of breath and heart palpitations.

After a short hospital admission, we discharged her, put her on a liquid diet of protein shakes and scheduled her for surgery. The only reason she stayed overnight after the procedure was for observation. The single-incision laparoscopic procedure we performed with the use of modern instrumentation is routinely performed today on an outpatient basis on younger, healthy patients.

That case and thousands like it are made possible through the use of flexible laparoscopes and a combination of energy devices and modalities that allow surgeons to perform safe and efficient same-day surgeries that improve patient outcomes. Here’s a look at how the equipment works in practice and enhances a vast array of abdominal procedures. 

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