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KARL STORZ virtual booth for Colorectal Surgery and Coloproctology

A very warm welcome to our virtual booth with a dedicated product selection for colorectal surgery and proctology.

Your dedicated Contacts

Fabienne Truckenbrod

Field of Expertise: General Surgery/Proctology

Theresia Ketterer

Field of Expertise: General Surgery/Proctology

Jasmin Keuser

Field of Expertise: Imaging

Elena Freitag

Field of Expertise: OR Integration and Documentation

Our featured products

IMAGE1 S™ 4U Rubina – The New 4K NIR/ICG Camera Head

IMAGE1 S™ 4U RUBINA combines 4K imaging technology as well as fluorescence imaging in the near infrared range for the display of indocyanine green (ICG) and for autofluorescence. The technology features very good image quality as well as new NIR/ICG fluorescence modes. The new modes, e.g. the superimposed NIR/ICG signal in the white light image, provide the user with valuable information. In addition, IMAGE1 S™ RUBINA offers the display intensity of a NIR/ICG signal and a purely near infrared mode in monochromatic color display for the clear delination of structures.

  • Native 4K image resolution with very good image brightness and rich color detail
  • OPAL1® NIR/ICG technology with new functionalities 
  • S-Technologies in white light and the overlay modes Overlay and Intensity Map
  • Enhanced* NIR/ICG telescopes and new models
  • Laser-free LED light source for white light and NIR/ICG excitation

* in comparison to previous models

 

Learn more in our on-demand webinar with Prof. Luigi Boni

Visualization of Perfusion

New meta-analysis regarding the use of NIR/ICG in colorectal surgery

Perfusion assessment is important in various medical disciplines. With IMAGE1 S™ RUBINA and ICG administration, ischemic areas, perfusion, and vascular structures can be displayed in real time, thereby enabling the surgeon to respond intraoperatively.

Example applications:

  • Rapid perfusion assessment of a planned resection zone as well as of the subsequent anastomosis, e.g., in colon1 or esophageal resection and gastric bypass2
  • Display of the cystic artery in cholangiography2
  • Visualization of liver segments3
  • Multidisciplinary use in laparoscopic, endoscopic, and open surgery
     

1Koh et al., Fluorescent Angiography Used to Evaluate the Perfusion Status of Anastomosis in Laparoscopic Anterior Resection, 2016
2Boni et al., Clinical Applications of Indocyanine Green (ICG) Enhanced Fluorescence in Laparoscopic Surgery, 2015
3Diana M et al Superselective Intra-arterial Hepatic Injection of Indocyanine Green (ICG) for Fluorescence Image-guided Segmental Positive Staining: Experimental Proof of the Concept, 2017

TELE PACK+

TELE PACK+, the new ALL-IN-ONE system from KARL STORZ, combines a monitor, LED light source, FULL HD camera control unit, and documentation unit with integrated network function in a single portable, compact device.

Proctoscopes

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

Rectoscopes

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

Special Features:

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

 

Rectoscope for Video Documentation – RECTOVISION® with Sliding Cap

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

Hemorrhoid Treatment

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

E.P.Si.T. – Endoscopic Pilonidal Sinus Treatment

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

Brazilian and argentinean multicentric study in the surgical minimally invasive treatment of pilonidal cyst

Human Medicine

Proctology

Silveira Mendes C R, Santana de Miranda Ferreira L, Salim L

Brazilian archives of digestive surgery 2019 Oct

Short-term outcomes of endoscopic pilonidal sinus treatment

Human Medicine

Proctology

Kalaiselvan R, Liyanage A, Rajaganeshan R

Annals of the Royal College of Surgeons of England 2019 Aug

The endoscopic treatment of pilonidal sinus disease: a short-term case-series study

Human Medicine

Proctology

Khafagy A, Al Haddad E, AlSabah S

Annals of Saudi Medicine 2019 May-Jun

Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series

Human Medicine

Proctology

Pini Prato A, Mazzola C, Mattioli G, Escolino M, Esposito C, D'Alessio A, Abati LC, Leonelli L, Carlini C, Rotundi F, Meinero PC

Pediatric Surgery International 2018 Jun

Outcomes of endoscopic pilonidal sinus treatment (EPSiT): a systematic review

Human Medicine

Proctology

Tien T, Athem R, Arulampalam T

Techniques in Coloproctology 2018 May

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Human Medicine

Proctology

Sequeira JB, Coelho A, Marinho AS, Bonet B, Carvalho F, Moreira-Pinto J

Journal of Pediatric Surgery 2018 Oct

Endoscopic Pilonidal Sinus Treatment: Long-Term Results of a Prospective Series

Human Medicine

Proctology

Giarratano G, Toscana C, Shalaby M, Buonomo O, Petrella G, Sileri P

Journal of the Society of Laparoendoscopic Surgeons 2017 Jul-Sep

Endoscopic pilonidal sinus treatment: a prospective multicentre trial

Human Medicine

Proctology

Meinero P, Stazi A, Carbone A, Fasolini F, Regusci L, La Torre M

Colorectal Disease: The Official Journal of the Association of Coloproctology of Great Britain and Ireland 2016 May

VAAFT Set

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 opening under visual control
  • Complete elimination of the fistula from the inside
  • Minimal postoperative trauma
  • Significant time and cost-saving potential
  • Fully autoclavable

A Systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT)

Human Medicine

Proctology

Emile SH, Elfeki H, Shalaby M, Sakr A

Surgical Endoscopy 2018 Apr

VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment

Human Medicine

Proctology

Zarin M, Khan MI, Ahmad M, Ibrahim M, Khan MA

Pakistan Journal of Medical Sciences 2015 Sep-Oct

Video-assisted anal fistula treatment

Human Medicine

Proctology

Kochhar G, Saha S, Andley M, Kumar A, Saurabh G, Pusuluri R, Bhise V, Kumar A

Journal of the Society of Laparoendoscopic Surgeons 2014 Jul-Sep

Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula

Human Medicine

Proctology

Zheng L, Lu J, Pu Y, Xing C, Zhao K

Chinese Journal of Gastrointestinal Surgery 2018 July

Symptom amelioration in Crohn's perianal fistulas using video assisted anal fistula treatment (VAAFT)

Human Medicine

Proctology

Adegbola SO, Sahnan K, Tozer PJ, Strouhal R, Hart AL, Lung PF, Phillips RK, Faiz O, Warusavitarne J

Journal of Crohn’s and Colitis 2018 May

Video-assisted anal fistula treatment in the management of complex anal fistula: a single-center experience

Human Medicine

Proctology

Stazi A, Izzo P, D'Angelo F, Radicchi M, Mazzi M, Tomassini F, Izzo L, Valabrega S

Minerva Chirurgica 2018 Apr

Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review

Human Medicine

Proctology

Adegbola SO, Sahnan K, Pellino G, Tozer PJ, Hart A, Phillips RKS, Warusavitarne J, Faiz OD

Techniques in Coloproctology 2017 Oct

Enterocutaneous fistula: a novel video-assisted approach

Human Medicine

Proctology

Rios HP, Goulart A, Rolanda C, Leão P

Wideochirurgia I inne techniki maloinwazyjne 2017 Sept

Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China

Human Medicine

Proctology

Jiang HH, Liu HL, Li Z, Xiao YH, Li AJ, Chang Y, Zhang Y, Lv L, Lin MB

Medical Science Monitor: International Medical Journal of Experimetal and Clinical Research 2017 Apr

TEO® – Transanal Endoscopic Operations

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

Transanal Endoscopic Operation for Benign Rectal Lesions and T1 Carcinoma

Human Medicine

Proctology

Mathieu D'Hondt, MD, Emi Yoshihara, MD, Lieven Dedrye, MD, Koen Vindevoghel, MD, Frederiek Nuytens, MD, and Hans Pottel, PhD

Journal of the Society of Laparoendoscopic Surgeons 2017 Jan-Mar

Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery

Human Medicine

Proctology

Serra-Aracil X, Ruiz-Edo N, Casalots-Casado A, Mora-López L, Pallisera-Lloveras A, Serra-Pla S, Puig-Diví V, Navarro-Soto S

Journal of Gastrointestinal Surgery 2018 Oct 10

What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material

Human Medicine

Proctology

Mege D, Bridoux V, Maggiori L, Tuech JJ, Panis Y

International Journal of Colorectal Disease 2017 Jul

Transanal endoscopic resection with peritoneal entry: a word of caution

Human Medicine

Proctology

Molina G, Bordeianou L, Shellito P, Sylla P

Surgical Endoscopy 2016 May

Hybrid NOTES: TEO for transanal total mesorectal excision: intracorporeal resection and anastomosis

Human Medicine

Proctology

Xavier Serra-AracilEmail author, Laura Mora-López, Alex Casalots, Carles Pericay, Raul Guerrero, Salvador Navarro-Soto

Surgical Endoscopy 2016 January

KARL STORZ SILVER SCOPE®

TROIDL SILVER SCOPE® Flexible Rectoscope

The flexible TROIDL SILVER SCOPE® rectoscope combines the fundamental advantages of flexible endoscopy with the application possibilities of rectoscopy.

Special Features:

  • Short working length of 40 cm
  • Inversion by up to 210° provides better visualization compared to rigid rectoscopy, and thus improves diagnostic and therapeutic options thanks to forward and retrograde viewing
  • Field of application especially suited for surgical conditions and procedures in the rectal area

This may be of interest to you as well:

CLICKline Single-use Scissors

Simply Sharp!

The new single-use scissor inserts can be combined with all reusable handles in the KARL STORZ CLICKLINE series, providing a practical solution for regular use or as a backup system.

Special Features:

  • Scissor blades are always sharp, resulting in optimal cutting effect
  • Inserts sterile-packed in individual blister packs and delivered in packages of 10 in a dispenser box
  • Proven scissor blade designs
  • Cost-effective solution: “Single-use meets reusable”
  • Color coding allows clear identification of the single-use components

Needle Holder with Righting Function

KARL STORZ has expanded its portfolio to include a new needle holder with a needle righting function. The needle holder offers significant time and handling advantages, especially for interrupted suturing. The needle, which is clamped flat in the needle holder, can be raised at the site by means of the rotary wheel.

Special Features:

  • Righting function for the clamped needle by turning the rotary wheel
  • The ergonomic handle design allows relaxed and precise work
  • The smooth-running, precisely settable ratchet facilitates secure positioning of the needle

Retractors for Laparoscopic Colorectal Procedures

Advanced laparoscopic surgery and particularly laparoscopic rectal surgery are extremely technically challenging.

One of the key requirements for successfully performing these procedures while respecting oncological principles is optimal exposure and, consequently, good visualization of the surgical site.

S-PILOT® – modular smoke evacuation system

As an early pioneer in laparoscopy, KARL STORZ has consistently worked to advance the state of the art. A great example is the S-PILOT® modular smoke evacuation management system, with in-line filtration and options for both active and passive applications. Recent guidance from SAGES and EAES recommends “For MIS procedures, use of devices to filter released CO2 for aerosolized particles should be strongly considered”.
While KARL STORZ has not specifically tested the use of KARL STORZ smoke evacuation devices and SARS-CoV-2, there are data on KARL STORZ filters and its effectiveness against other bacteria and viruses.    
The filter efficiency of KARL STORZ filters was tested using the most common test methods with microorganisms known as “Virus Filtration Efficiency (VFE)” and “Bacterial Filtration Efficiency (BFE)”. These types of tests are considered to be the most similar to clinical scenarios. A test aerosol with a mean particle size of 3 +/- 0.3 µm and a virus bacteriophage ɸX174 of 0.027 µm (at VFE) or bacteria Staphylococcus aureus (at BFE) were used. Test results confirmed a filter efficiency of more than 99.9999 %.1,2
The Most Penetrating Particle Size is typically in a range of 0.1-0.3 µm. These particles are the most difficult to trap by the filter. The test aerosol DEHS (= Di-2-Ethylhexyl-Sebacat) with a size of 0.3 µm was therefore used for non-microbiological tests. A filter efficiency of more than 99.9994 % was achieved.3

Contact your local KARL STORZ representative for a solution that meets your individual needs or for more details regarding the smoke evacuation portfolio available.
The S-PILOT® with in-line filtration is part of the extensive array of KARL STORZ products designed in consultation with active laparoscopic surgeons. The complete repertoire covers the full range of diagnostic and surgical laparoscopic procedures for adult and pediatric patients. 
 

1 Nelson Laboratories Inc., Salt Lake City, USA: “Virus Filtration Efficiency Test (VFE) at an Increased Challenge Level” Lab. No. 846021-S01, 07 Dec. 2015 (internal reference: SAP ID 300000338072).

2 Nelson Laboratories Inc., Salt Lake City, USA: “Bacterial Filtration Efficiency Test (BFE) at an Increased Challenge Level” Lab. No. 846022-S01, 02 Dec. 2015 (internal reference: SAP ID 300000338073).

3 GVS Filter Technology UK, Lancashire LA3 3EN, UK: Activity Report REP: 0698/16, 21. January 2016 (internal reference: SAP ID 300000351254).

OR1 NEO®

Maximum flexibility for the best possible integration solution

  • Video management and documentation in up to 4K UHD resolution and 3D
  • Medical device control through seamless integration of KARL STORZ SCB modules
  • Optional control of general room functions
  • Integration of commercial video conferencing systems to meet even the highest demands regarding transmission quality
  • Control of all functions via the surgical monitors with touchscreen function, either directly from the sterile field or from the nurse workstation
  • Modular system facilitating customization based on individual needs