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Proctology

Rectoscopy and proctoscopy are established methods for diagnosing and treating rectal disease. The combination with video endoscopic technologies permits extraordinarily good visualization as well as clear documentation of findings and extends the range of indications to complex minimally invasive procedures such as transanal rectal surgery.

For these indications, KARL STORZ offers a wide range of products to hospitals and offices, ranging from instruments for rectal biopsies and polyp removal, optical forceps, and instruments for treating hemorrhoids to video endoscopic instruments for transanal endoscopic operation (TEO) and video-assisted anal fistula treatment (VAAFT).

Highlights

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

Additional information on the specialty

IMAGE1 S™ 4U – mORe than a camera

IMAGE1 S™ 4U – mORe than a camera

Media type:
Video, Teaser
Languages available:
E
Version:
2019
Material number:
1065E
Specialties:
VITOM® 3D – 3D Visualization for Microsurgery and Open Surgery

VITOM® 3D – 3D Visualization for Microsurgery and Open Surgery

Media type:
Video, Teaser
Languages available:
D, E
Version:
2019
Material number:
1118E
Specialties:
E.P.Si.T. Endoscopic Pilonidal Sinus Treatment

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

Media type:
Video, Endovideo
Languages available:
E
Version:
2015
Material number:
874E
Specialties:
NIR/ICG Fluorescence Imaging an OPAL1™ Technology from KARL STORZ

NIR/ICG Fluorescence Imaging an OPAL1™ Technology from KARL STORZ

Media type:
Video, Product Film, Teaser
Languages available:
D, E
Version:
2016
Material number:
914E
Specialties:
AUTOCON® III 400 Teaser

AUTOCON® III 400 Teaser

Media type:
Video, Product Film, Teaser
Languages available:
D, E
Version:
2016
Material number:
948E
Specialties:
TRAINERS AND SIMULATORS

TRAINERS AND SIMULATORS

Media type:
Catalogs
Languages available:
D, E, ES, FR, IT, RU
Version:
1.0 02-2018
Material number:
96010001E
Specialties:
Highlights 2019 Proctology

Highlights 2019 Proctology

Media type:
Marketing Brochures
Languages available:
D, E
Version:
1.0 03-2019
Material number:
96141014E
Specialties:
Proctology
LEROY Retractors for Laparoscopic Colorectal Surgery

LEROY Retractors for Laparoscopic Colorectal Surgery

Media type:
ENDOWORLD®
Languages available:
D, E, ES, IT, PT, RU
Version:
6.1 06-2015
Material number:
96112020E
Specialties:
PROCTOLOGY

PROCTOLOGY

Media type:
Catalogs
Languages available:
D, E, ES, FR, IT, PT, RU, US
Version:
8.0 03-2015
Material number:
96140000E
Specialties:
The KARL STORZ E-Series: Ergonomic – Elegant – Efficient

The KARL STORZ E-Series: Ergonomic – Elegant – Efficient

Media type:
ENDOWORLD®
Languages available:
D, E, ES, FR, IT, PT, RU
Version:
5.1 11-2017
Material number:
96212009E
Specialties:
Snare Guide Models 25731/25732/25734/25734 K

Snare Guide Models 25731/25732/25734/25734 K

Media type:
Product Package Leaflet
Languages available:
D, E, ES, FR, IT, PT, RU, CN, AR, JP, TR
Version:
1.0 09-2018
Material number:
97000292
Specialties:
This document is only available for registered users. Please log in.
Retractors Models 28163 BFP, 30623 G/GB/GBE/HA/T/I/VL, 26173 FP, 30623 F/FP

Retractors Models 28163 BFP, 30623 G/GB/GBE/HA/T/I/VL, 26173 FP, 30623 F/FP

Media type:
Product Package Leaflet
Languages available:
D, E, ES, FR, IT, PT, RU, CN, AR, JP, TR
Version:
3.0 11-2017
Material number:
97000232
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20161220 Cold light source LED nova 150

20161220 Cold light source LED nova 150

Media type:
User Handbooks
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Version:
4.0 02-2019
Material number:
96206245D
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Suction ligature instrument Model 25211 P

Suction ligature instrument Model 25211 P

Media type:
Product Package Leaflet
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D, E, ES, FR, IT, PT, RU
Version:
2.0 01-2019
Material number:
96146303DF
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20321020 DUOMAT®

20321020 DUOMAT®

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Version:
6.0 12-2018
Material number:
96116002D
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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

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

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