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Proctology

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

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

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

TEO® Platform with Flexible Working Attachment and High-Flow Adaptor – B-PORT

TEO® (Transanal Endoscopic Operations) combines the minimal invasiveness of an intervention via a natural orifice (NOTES) with the precision of resection under visual control. A wide-lumen rectoscope enables precise guidance of operating instruments under endoscopic control. In cooperation with Prof. Luigi Boni, Milan, Italy, it was possible to optimize the TEO® platform for TaTME (Transanal Total Mesorectal Excision).

Special Features:

  • Great freedom of movement thanks to flexible working attachment
  • Instruments up to size 15 mm can be used
  • The high-flow adaptor enables a fast and stable pneumorectum as well as effective smoke evacuation
  • Straight distal end simplifies the placement of an endoscopic purse-string suture
  • Also suitable for TaTME

D-PORT

The reusable D-PORT was designed and optimized for transanal surgery. It is also possible to perform Transanal Total Mesorectal Excision (TaTME) with this platform.

Special Features:

  • Simultaneous CO2 insufflation and smoke / gas evacuation possible
  • Great freedom of movement due to flexible sealing cap
  • Small outer diameter of 30 mm facilitates insertion in the anal canal
  • Free choice of telescopes (5 mm or 10 mm)
  • Reusable and thus cost-effective

ENDOFLATOR® 50 and S-PILOT® – The Perfect Combination

The ENDOFLATOR® 50 in conjunction with the KARL STORZ S-PILOT® creates the perfect prerequisites for optimal smoke evacuation. To make full use of the excellent flow rate provided by the insufflator, appropriate accessories are required.

Special Features:

  • Stable OR field thanks to innovative regulation
  • Gas heating adapts to various ambient conditions and reliably prevents telescope fogging
  • Creates optimal viewing conditions and a stable OR field, even in small cavity surgery

Rectoscope for Video Documentation – RECTOVISION® with Sliding Cap

The combination of laparoscopic and rectoscopic technologies permits exceptionally good visualization and documentation of the intraluminal conditions in patients undergoing coloproctological interventions. Video rectoscopy is a straightforward and convenient procedure. 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
  • Stable examination field thanks to airtight sliding cap

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:

  • Working length of 40 cm ensures easy handling
  • Up to 210° inversion improves visualization and, consequently, diagnostic and therapeutic options thanks to forward and retrograde viewing
  • Field of application especially suited for surgical conditions and procedures in the rectal area
  • Fatigue-free work thanks to ergonomically shaped control unit
  • Possibility to combine rigid and flexible endoscopy thanks to modular IMAGE1 S™ camera platform

Documentation in Proctology

The mobile all-in-one solution TELE PACK X GI provides clear patient information for procto- and/or rectoscopic examinations. The flexible TROIDL resectoscope as well as the rigid systems PROCTOVISION® and RECTOVISION® allow the visualization and documentation of all  examination and/or therapy steps.

Special Features:

  • The portable all-in-one solution combines a monitor, video processor, LED light source, documentation unit and insufflation pump in one unit
  • Universal use in doctors’ offices, emergency rooms and intensive care units
  • Flexible and rigid endoscopes can be easily connected with suitable adaptors
  • As well as presenting clear patient information, the documentation can be an effective aid for proctological training
  • The integrated network function allows straightforward export of patient images and videos to the hospital or practice network

Proctoscopes

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

Special Features:

  • Plastic obturator prevents possible tilting in the proctoscope tube
  • 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

 

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