Plastic Surgery
Plastic surgery is a cross-disciplinary field with applications in a wide range of specialties from oral and maxillofacial surgery (OMFS) and ENT to gynecology and arthroscopy. In oral and maxillofacial surgery, the combination of telescopes, perfectly shaped sheaths, and instruments allows performing facial rejuvenation procedures such as endoscopic mid face lift, forehead lift, and blepharoplasty. In ENT, special instrument sets for otoplasty and rhinoplasty permit the atraumatic correction of congenital or post-traumatic defects as well as classic aesthetic rhinoplasty and ear pinning.
In breast surgery, various dissectors and optical and illuminated retractors are available for plastic, aesthetic, and reconstructive procedures. These instruments can be used for various techniques, such as latissimus dorsi flap, as well as for different accesses via the axilla or the inframammary fold.
In arthroscopy, sophisticated instrument sets permit procedures on large and small joints as well as on peripheral nerves. Specially developed instrument sets allow endoscopic nerve decompression (carpal, cubital, tarsal tunnel).
Highlights
Axillary Endoscopic Breast Augmentation
Unipolar endo-dissector
The unipolar endo-dissector was developed for use in endoscopically monitored dissection in breast augmentation procedures. The endo-dissector is used with a 10 mm-diameter 0° telescope to create a retro-mammary or retro-pectoral pocket via an axillary approach. The endo-dissector is also equipped with a unipolar coagulation electrode that enables the surgeon to dissect and coagulate tissue under visual control. By allowing endoscopic monitoring, the unipolar endo-dissector facilitates very precise preparation of the implant pocket shape. Since it is possible to coagulate at the same time, a bloodless pocket can be maintained, without hematoma. No drainage is necessary. The characteristics of the unipolar endo-dissector make this method an excellent alternative to other approaches, i.e., the submammary or periareolar approach.
Dr. Henry Delmar,
Cap d’Antibes, France
Special features:
- Endoscopic monitoring allows precise preparation of the implant pocket shape
- Creation of a bloodless pocket through coagulation, meaning no drainage is necessary
Axillary Endoscopic Breast Augmentation
acc. to KLÖPPEL
Endoscopic breast augmentation via an axillary approach can be performed safely and very precisely using high-quality FULL HD camera technology. A bow-shaped retractor with suction mechanism is inserted into a 3-4 cm long incision in the natural crease of the skin, high in the hair-bearing area of the armpit; the process is visualized using a 30° telescope and a modern FULL HD camera. High-resolution, brilliant images of the local anatomy and the dissection planes allow exact determination of implant position. Implants can then be placed subfascially, subglandularly, or preferably submuscularly. Either round or anatomically profiled implants can be used in sizes of up to 600 ml. If necessary, implant replacement with capsulectomy or even partial capsulectomy can be performed using an axillary approach. Total operation time is between 1 and 1.5 hours, including set-up time. Follow-up studies show low short-term and long-term complication rates, similar to those seen with the submammary incision alternative. The scar in the axilla fades after approximately 6 months, leaving a shapely augmented breast without visible scars.
Dr. Markus Klöppel
Plastic & Aesthetic Surgery
Munich, Germany
Special features:
- Endoscopic monitoring allows precise preparation of the implant pocket shape
- Creation of a bloodless pocket through coagulation, meaning no drainage is necessary
- Scar in the axilla fades after approximately 6 months, leaving a shapely augmented breast without visible scars
Illuminated optical retractors for breast augmentation and breast reconstruction
Special Features:
- For breast augmentation using the inframammary or transaxillary approach
- For lifting the latissimus dorsi muscle in breast reconstruction
- Retractor can be used with or without endoscope
Additional information on the specialty
Open Rhinoplasty and Cartilage Grafting
Complex Operating Techniques in Facial Plastic Surgery and Rhinosurgery – The RHINO® Workshop Guidelines
IMAGE1 S™ 4U – mORe than a camera
VITOM® 3D – 3D Visualization for Microsurgery and Open Surgery
Endoscopic Midface Lift – Endoscopic Approach to Middle Third Facial Rejuvenation
Modern Airway Management with the C-MAC® system in bariatric surgery
TRAINERS AND SIMULATORS
Retractors for plastic surgery * * 50200 xx, 50205 xx, 50215 xx, 50216 xx, 50251 xx, 496 H
Dermatomes REF 253100/253200/253300
CLICKLINE Instruments Models 28163xx, 30131, 33110xx, 33121, 33122, 33123, 33125x, 33127x, 33126, 3315x, 3313x, 3314x, 33161, 33200xx, 33210xx, 33250xx, 33300xx, 33310xx, 33400xx, 33410xx, 33500xx, 33510xx, 33600xx, 33610xx, 33700xx, 33710xx, 33810xx, 34110xx, 34210xx, 34250xx, 34310xx, 34410xx, 34510xx, 34710xx, 50220xx, 50221xx, 50222xx, 50235xx, 50236xx, 50510x
Clamping Jaw Models 28272 UFN, 28272 UFP
