Plastic Surgery
Plastic surgery is a cross-disciplinary field with applications in a wide range of specialties ranging from oral and maxillofacial surgery to ENT, gynecology and arthroscopy. In the field of oral and maxillofacial surgery, the combination of telescopes as well as suitable sheaths and instruments enable procedures such as endoscopic midface and forehead lifting or blepharoplasty. In the field of ENT, special instrument sets for oto- and rhinoplasty permit the atraumatic correction of congenital or post-trauma defects as well as classical aesthetic nose correction and pinnaplasty. In mammoplasty, various dissectors as well as optical and illuminated retractors are available for plastic, aesthetic and reconstructive surgery. Instruments can be used for various techniques, e.g., the latissimus dorsi flap procedure, as well as various surgical approaches via the axilla or the inframammary crease. In the field of arthroscopy, sophisticated instrument sets allow peripheral nerve surgery in addition to interventions on the joints. The specially developed instrument sets permit endoscopically assisted 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
