Impact Of Blade Orientation And Cautery Mode When Delivering Electrocautery To Transvenous Leads Using An Insulated Blade
Jeremiah Wasserlauf1, MD, MS, Taiki Esheim2, MBA, Natasha M. Jarett2, BS, Eric K.Y. Chan2, PhD, FHRS and Bradley P. Knight1, MD, FHRS
1Northwestern University, Feinberg School of Medicine, Chicago, IL. 2Invuity, Inc., San Francisco, CA.
Electrocautery can cause thermal injury to insulated transvenous cardiac device leads. Newer cautery blades have been developed to minimize collateral thermal damage by using an insulated coating that surrounds the blades except for an exposed edge. The optimal blade orientation and generator settings to minimize lead damage using insulated blades are not well established.
Damage To Transvenous Leads During Electrocautery – A Comparison Of Two Insulated Electrocautery Blades
Jeremiah Wasserlauf1, MD, MS, Taiki Esheim2, MBA, Natasha M. Jarett2, BS, Eric K.Y. Chan2, PhD, FHRS, Robert D. Schaller3, DO, Fermin C. Garcia3, MD and Bradley P. Knight1, MD, FHRS
1Northwestern University, Feinberg School of Medicine, Chicago, IL. 2Invuity, Inc., San Francisco, CA. 3Hospital of the University of Pennsylvania, Philadelphia, PA
Electrocautery can cause thermal injury to the insulation of transvenous cardiac device leads. Newer electrocautery blades have been developed to minimize collateral damage by using an insulated coating that surrounds the blades except for an exposed edge. PhotonBlade (Invuity, San Francisco, CA) has emerged as an alternative insulated blade to Plasmablade (Medtronic, Minneapolis, MN). There are no studies to date comparing these two systems.
USE OF THE SABER YANKAUER™ HANDHELD ILLUMINATOR IN ANTERIOR APPROACH TOTAL HIP ARTHROPLASTY SURGERY
A Survey of Leading Orthopedic Surgeons on the Benefits for Surgical Precision, Workflow Efficiency, & Patient Safety
Joel Matta, MD1, John Masonis, MD2, Anthony Carter, MD3, David Homesley, MD4, Tarun Bhargava, MD5, Cass K Nakasone, MD6, Hamid Redjal, MD7, Charles DeCook, MD8, Herrick Siegel, MD9, J. Dean Cole, MD10, Anthony Unger, MD11
1St. John’s Medical Center, 2Carolina’s Medical Center, 3Bon Secours Mary Immaculate Hospital, 4Novant Health Charlotte Orthopedic Hospital and Carolinas Medical Center-Mercy Main, 5University of Kansas School of Medicine-Wichita, 6Straub Clinic and Hospital, 7Spine and Orthopedic Center, Cottage Hospital, 8Northside Hospital, 9University of Alabama Birmingham, 10Florida Hospital Orlando, 11Sibley Memorial Hospital
Total hip arthroplasty (THA) is an established cost-effective treatment for arthritis of the hip joint. The anterior approach is becoming more popular among patients. The PhotonSaber™ Y device (Invuity, San Francisco, CA) can be used to improve visualization during anterior approach THA. The study aim was to gain some initial survey data from leading surgeons on how the PhotonSaber™ Y enables them to perform anterior approach THA more precisely, efficiently, and safely.
RETROSPECTIVE CHART REVIEW OF NIPPLE SPARING MASTECTOMIES WITH AND WITHOUT AN ENABLING INTRACAVITY ILLUMINATION AND VISUALIZATION SYSTEM
AUTHORS: Beth Baughman DuPree MD, FACS, ABIHM, William Scarlett DO, FACS, FACOS, FAACS, Anna Smaron, Marie Cassese, Darren Eskow, and Jeff Gross, Ph.D.
AFFILIATIONS: Adjunct Assistant Professor of Surgery University of Pennsylvania, Philadelphia PA, Chairman Department of Surgery Holy Redeemer Hospital, Medical Director Integrative Medicine Holy Redeemer Health System, Meadowbrook, PA. Associate Professor of Plastic Surgery, PCOM, Philadelphia PA, Medical Director of Bucks County Aesthetic Center, Bensalem PA, Navigant Consulting
ABSTRACT: Nipple Sparing Mastectomy (NSM) has become a desirable option for oncologic treatment of breast cancer with excellent clinical and aesthetic outcomes in appropriate patients. Still, this procedure can be technically challenging for surgeons, and patient selection is a critical factor. Technological advances have enabled surgeons to improve their surgical efficiency and proficiency, decrease complications, reduce surgical times, and improve aesthetic outcomes. Shorter anesthesia times are beneficial for patients. The addition of advanced technologies has enabled us to further decrease surgical times, increase flap viability, nipple areolar viability, contractility and sensation and improve aesthetic outcomes – including Hidden Scar®.
NIPPLE SPARING MASTECTOMY AND THE ADVENT OF AN ENABLING SURGICAL ILLUMINATION AND VISUALIZATION SYSTEM
Clinical Experience Survey of Thought Leaders in Breast Surgery
Rache Simmons, MD,a Shawna C. Willey, MD, FACS,b Richard Fine, MD,c Sheldon Feldman, MD, FACS,d Beth DuPree, MD, FACS, ABIHM,e Sunny Mitchell, MD,f Alison Laidley, MD, FACS, FRCS (C),g Molly Sebastian, MD, FACS,h William Burak, MD, FACS,i Barbara Schwartzberg, MD,j Kathryn Wagner, MD, FACS,k Angela Keleher, MDl
aDepartment of Surgery, New York Presbyterian/Weill Cornell Medical Center, bDepartment of Surgery, Medstar Georgetown University Hospital, cThe West Clinic Comprehensive Breast Center, Memphis, TN, dDepartment of Surgery, New York Presbyterian/Columbia University Medical Center, eHoly Redeemer Health System, Southampton, PA, fDepartment of Surgery, White Plains Hospital, White Plains, NY, gTexas Oncology, Dallas, TX, hReinsch Pierce Family Center for Breast Health Virginia Hospital Center, Arlington, VA, iAdvanced Breast Care, Marietta, GA, jWestern Surgical Care, Denver, CO, kCancer Care Centers of South Texas, San Antonio, TX, lDyson Center for Cancer Care, Vassar Brothers Medical Center, Poughkeepsie, NY.
Recent advances in surgical techniques for breast cancer, including nipple sparing mastectomy (NSM), reflect growing interest in optimal aesthetic outcomes and associated psychological recovery without sacrificing oncologic safety and efficacy. A new surgical illumination and visualization technology addresses this need while enabling broader application and adoption of the nipple sparing technique.