Gynaecologie
STEEP – Soft Tissue Endoscopic Exploration Procedure
Endoscopic surgery in the axilla
Endoscopic procedures and minimal invasive procedures have a tradition in gynaecology. Soft tissue continued to be a limit for the endoscopic operating area. First approaches into endoscopic procedures for retro-peritoneal diagnosis of lymph nodes can be traced back to the 1980s.
The development of sentinel diagnosis gave rise to new questions primarily concerning the treatment of the breast area. In the event of a positive sentinel, the question is how far the minimal invasive access can be used to carry out a complete excision of lymph nodes, which is as important as the question of occult metastases through the exploration in soft tissue.
For this reason the development of the axilloscope / STEEP first of all passed through various stages of minimal invasive marking measures of the axilla sentinel lymph node in case of a breast carcinoma.
Nuclear medical marking procedures as well as bluing processes produced different detection rates. For this reason, the combination seems rather sensible.
Whilst detectors can recognise lymph nodes marked by nuclear medical procedure percutaneously, this is not possible in case of bluing processes.
In an ideal situation, the lymphatics marked in blue are followed to the sentinel lymph node, which is then removed. For this reason, it suggests itself to follow the lymphatics from the injection location in the breast to the axilla, and to remove the lymph node marked in blue and by nuclear medical means.
In case of positive histological findings, the intervention can be completed then. With the introduction of the STEEP axilla endoscope, it is possible to quickly prepare the soft-tissue areas, to distinctly present the available lead structures and to carry out a complete resection.
The patented viewing cap is a key feature to success!
On account of the excellent adaptation to the optical system, the display of the operating site is ideal even in case of difficult anatomic conditions.
Thanks to this viewing cap, the anatomic structures are recognised already during the preparation and dissection, and the structures are spared in the best possible way. In the process, the integrity of the breast is primarily retained.
Therapeutic measures, such as the removal of the lymph node, are effected by an integrated working channel without requiring additional incisions.
The lymph node is recovered through the working channel. There is no contact to the neighbouring tissue which is not affected. In particular, in case of positive histology of the extracted tissue this is an absolute safety aspect (state of the art from an oncological point of view). For this histological reprocessing, the integrity of the lymph node is of considerable prognostic significance.
Developped in close cooperation with Dr. med. Erik Schlicht Frauenheilkunde / Brustzentrum Klinikum Schwäbisch Gmünd Stauferklinik, Mutlangen
ERAGON compact
With our new monopolar ERAGON insruments, we provide you with a cost effective instrument range.
Monopolar, single-piece forceps
- NEW ergonomic handle design
- NEW jaw mechanism engineered with pinless hinges
- Single-piece design – no assembly or disassembly required
Optiflow Continues Flow-Hysteroscope
Continuous highflow, single piece, Increased flow dynamics, Ideal for the use with ESSURE® device
- Single Piece, Continuous Flow, Sheath for Hysteroscopy in the Office or Operating room
- Single sheath with Click-Lock for ease of use and added strength
- For use with 30° or 12° R. WOLF 8974 PANOVIEW hysteroscopes
- Increased flow dynamics compared to the traditional dual sheath system
The Princess resectoscope (Petit Resectoscope including E-line & S(a)line System) is the thinnest resectoscope with an outer diameter of only 7 mm that is used with the new 12° PANOVIEW telescope 8974.412.
Its tiny dimensions are ideal for fine and precise resection. Due to the significantly reduced space required, the intrauterine pressure can be kept particularly low. The result is less fluid consumption and loss. The instrument with its hybrid technology can be used both for monopolar and bipolar applications
BipoTrode 5 Fr. Bipolar-Electrode
Can be used with common hysteroscopes with a 5 Fr. working channel
- For precise dissection, preparation and coagulation using saline distention solutions
- Small diameter of 5 Fr. allows use with hysteroscopes
- Made of semiflexible stainless steel it is suitable for use with curved working channels and ideal for use through the straight working channels of the compact R. WOLF hysteroscopes
- Robust and ergonomic handle
- Autoclavable and reusable
ERAGON Bipolar forceps and scissors system
modular • ergonomic • safe
All aspects of the new bipolar ERAGON system meet the requirements of economy, functionality and ergonomics.
ERAGON is a cost-effective, modular system with a wide range of different jaws sections. The system can be assembled and dismantled extremely simply thanks to the new "click-it system" and allows the use of a wide selection of jaws.
Morce Power Plus 2307
The new generation of electronic morcellators 2307
With the new development of the Morce Power Plus morcellation system, Richard Wolf has created the ideal conditions for simple, fast and safe morcellation of even large amounts of tissue.
Resection master 2228
By Gallinat with automatic chip aspiration
- Simplified resection
- Continuously in control
- Reduced surgery times
With the RESECTION MASTER chips are aspirated immediately they are produced and removed from the cavity of the uterus without the hydrometra being impaired.