Highlights

The pilonidal sinus is an acute or chronic inflammatory process in the subcutaneous adipose tissue, often occurring in the sacrococcygeal region¹. E.P.Si.T. – Endoscopic Pilonidal Sinus Treatment – proceeds in two phases. In the first – diagnostic – phase, the sinus cavity and the sinus tracts are examined. The aim of the second – therapeutic – phase is to ablate the abscess cavity and to eliminate the fistula². Both phases are performed under direct endoscopic control.

Special Features:

• E.P.Si.T. can be performed in an outpatient setting
• Ablation of the abscess cavity and elimination of the fistula under direct vision
• High patient satisfaction³
• Straightforward, safe, effective and reproducible method of treatment³
• Instruments can also be used to treat anal fistulas (VAAFT technique)

Sources:
¹ AWMF Summary of the S3 Guidelines 081/009: Sinus pilonidalis

² Endoscopic Pilonidal Sinus Treatment: A Prospective Multicentre Trial. P. Meinero et al., 2016

³ Endoscopic Pilonidal Sinus Treatment, Giarratano G et al., 2017

Video-Assisted Anal Fistula Treatment

The VAAFT technique is suitable for the surgical treatment of complex anal fistulas and recurrences. VAAFT – Video Assisted Anal Fistula Treatment – proceeds in two phases. The purpose of the first – diagnostic – phase is to inspect the fistula pathway and to locate the internal fistula opening. The goal of the second – therapeutic – phase is the complete destruction of the fistula epithelium. Both phases are performed under direct endoscopic control. 

Special Features: 

• Exact localization of the internal fistula opening¹ under visual control
• Complete elimination of the fistula from the inside¹
• Minimal postoperative trauma¹
• Significant time-saving and cost-saving potential¹
• Fully autoclavable

Sources:
¹ Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas. Meinero et. al. 2011

The minimally invasive transanal platform for the treatment of rectal neoplasia

Transanal Endoscopic Operations (TEO®) combines the minimal invasiveness of an intervention via a natural body orifice (NOTES) with the precision of resection under endoscopic microsurgery.

Special Features:

• Available in lengths of 7.5, 15 and 20 cm
• Compatible with all standard camera systems for laparoscopy
• Mechanical holding arm enables the platform to be placed in a very stable position

TEO® (transanal endoscopic operations) combines the minimal invasiveness of procedures performed via a natural body orifice (NOTES) with the precision of controlled resection under optical magnification. The TEO® platform for taTME (transanal total mesorectal excision) has been optimized in collaboration with Prof. Luigi Boni, Milan, Italy.

Special features:

• Flexible working attachment
• Instruments up to size 15　mm can be used
• High-flow insufflation adapter
• Straight distal end
• Suitable for taTME

The ENDOFLATOR® 50 with gas heater offers:

• Gas flow up to 50 l/min with KARL STORZ HICAP® trocars
• Gas heating to body temperature
• Two insufflation modes for high flow and pediatric applications
• SECUVENT® safety system for reducing any intracavitary overpressure
• Communication with IMAGE1 S™ camera platform for control from the sterile field
• Procedure list: Own procedures can be stored

The ENDOFLATOR® 50 is used in transanal treatment and endoscopic vessel harvesting. It can be combined with the S-PILOT®, which ensures the controlled evacuation and filtering of surgical smoke during endoscopic procedures.

The combination of laparoscopic and rectoscopic technologies permits visualization and documentation of intraluminal conditions in patients undergoing coloproctological interventions. RECTOVISION® is intended for use in both outpatient settings and surgical departments.

Special Features: 

• Clear, high-resolution display of even the finest details
• Fully reusable; long service life
• Can be used with all 10 mm telescopes – also in conjunction with NIR/ICG  for intraluminal perfusion assessment
• Airtight Sliding Cap

Compact endoscopy for documentation in proctology

In proctoscopic and rectoscopic examinations, the TELE PACK+ mobile all-in-one solution offers visual depictions to give patients greater clarity. The rigid PROCTOVISION® and RECTOVISION® systems allow the visualization and documentation of all important examination and/or treatment steps.

Special features:

• The portable all-in-one solution combines a monitor, camera control unit, LED light source, and documentation unit with integrated network function
• Image display in FULL HD quality
• Universal use in doctor’s offices, outpatient clinics, emergency rooms, and intensive care units
• Compatibility with a wide range of rigid, flexible, and single-use endoscopes – beneficial for interdisciplinary use, for instance*
• In addition to presenting clear patient information, documentation (with storage capability on USB and free internal memory of 50 GB) can aid in proctological training
• Expanded functions in combination with SCENARA®: Import of patient data from the HIS; image and video processing and data transfer to the PACS or a network storage device

*Please note: the TELE PACK+ is incompatible with the SILVER SCOPE® Flexible Rectoscope acc. to TROIDL

KARL STORZ offers a wide range of proctoscopes in various sizes for rigid proctoscopy.

Special Features:

• Plastic obturator  
• Completely reusable, durable
• With the proper working attachment can also be utilized for video-assisted proctoscopy and documentation

KARL STORZ offers a wide range of rectoscopes in various sizes for rigid rectoscopy.

Special Features:

• Completely reusable, durable
• Illumination head with fiber optic light cable connector for illumination
• With the proper working attachment can also be utilized for video-assisted rectoscopy and documentation

KARL STORZ offers a wide range of suction ligature instruments for the treatment of hemorrhoids

Special Features:

• Available with integrated mechanical vacuum pump or with connector pin for external vacuum pump
• Replaceable, ergonomic handle
• Available with lateral or straight suction openings