27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal by Ulrich Spandau, Mitrofanis Pavlidis PDF
By Ulrich Spandau, Mitrofanis Pavlidis
This ebook offers step by step directions on tips to function with 27G instrumentation in a variety of surgical symptoms, together with vitreous floaters, macular holes, dropped nucleus, retinal detachment, diabetic retinopathy, submacular hemorrhage, retinopathy of prematurity and lots more and plenty trauma. All surgical procedures are approached in cookbook style, with preliminary assurance of the “ingredients” (devices and tools) after which meticulous description of coaching and function with helping images, drawings and video clips. moreover, the diversities and merits compared to 23G and 25G vitrectomy are highlighted.
Small-gauge vitrectomy has greatly replaced the ways that vitrectomy is played. 27G vitrectomy is the latest and most enjoyable improvement in small-gauge vitrectomy. The therapeutic time is quicker however the small diameter prolongs the length of surgical procedure. This crisis has been triumph over with strong new vitrectomy machines and progressive vitreous cutters with slicing blades making 27G vitrectomy as quickly as 25G. This new gear has elevated the symptoms for 27G surgical procedures immensely from detachment surgical procedure to retinopathy of prematurity and the appearance of recent tools may well make 27G the most appropriate sooner or later. This e-book, written through authors with large event in 27G vitrectomy, will let surgeons to totally make the most its advantages.
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Additional info for 27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal Results
First blade (old) Second blade (new) Second opening (new) First opening (old) Fig. 8 Illustration of a TDC cutter in action. One movement (forwards and backwards) results in two cuts. In old cutters one movement (forwards and backwards) results in one cut. 0 0 2000 4000 6000 8000 Cut rate [cpm] Fig. 9 Comparison of an old 23G cutter vs a new TDC 27G cutter. The new cutter has a stable flow in the complete cutting range from 0 to 8000 cuts/min. The old cutter has a high aspiration at 1000 cuts/min and a low aspiration at 8000 cuts/min TDC cutter Regular cutter Comparison 23G TDC 23G regular 164 % 25G TDC 25G regular 176 % 27G TDC 27G regular 150 % 27G TDC 23G regular 48 % 27G TDC 25G regular 71 % 27G TDC 27G regular 150 % Fig.
They are especially pleasant for beginners, because the eye is always normotensive. The valves maintain 24 2 Optimal Visualization, Optimal Instruments and Optimal Technique Fig. 8 A photograph of our OR. There is usually no assistant present Fig. 9 The position of the vitrectomy machine, surgical table and scrub nurse varies from OR to OR. This is an alternative set-up with a separate surgical table in front of the surgeon. A vitreous cutter and light pipe are placed on this table. The tubes are fixated with a Velcro fibre tape.
3 Devices 19 And again: It is worthwhile to set high standards regarding visualization because it influences the surgical quality and outcome directly. 2 Operating Room (Figs. 1 Red Lights in the Operating Room We painted our neon tubes with a red colour like in submarines so that we have a good room illumination without disturbing the surgeon (Fig. 4). 2 Inflatable Pillow We use an inflatable pillow which can be formed around the patients head by pumping out the air (Figs. 6). 3 Location of the Patient, Surgeon, Vitrectomy Machine and Scrub Nurse There are many different set-ups of the patient’s bed, vitrectomy machine and surgical table.
27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal Results by Ulrich Spandau, Mitrofanis Pavlidis