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Universitätsklinikum Jena
Friedrich-Schiller-Universität Jena
Universitätsklinikum Jena, Klinik für Frauenheilkunde und Geburtshilfe,
Abteilung Frauenheilkunde, Postfach, D-07740 Jena
Klinik für Frauenheilkunde und Geburtshilfe
Geschäftsführender Direktor der Klinik
Univ.-Prof. Dr. med. I. B. Runnebaum, MBA
To
Mr. Wiegand Michael
Abt. Frauenheilkunde
Bachstraße 18
D-07743 Jena
Gebrüder Martin
www.uni-jena.de/ufk
[email protected]
Tel.:
Fax:
03641-933063
03641-933064
Zertifikate der Frauenklinik:
- DIN EN ISO 9001
- The European Board and College of Obstetrics and Gynaecology
- Royal College of Obstetricians and Gynaecologists
Zertifikate des Interdisziplinären Brustzentrums Jena:
- Deutsche Krebsgesellschaft e.V. / Deutsche Ges. für Senologie
- DIN EN ISO 9001
Ihr Zeichen:
Ihre Nachricht vom:
Unser Zeichen:
Date:
January 9, 2009
24-h-Anmeldung
für stationäre
Aufnahme:
Application Report on the Use of the KLS Martin marSeal
Instrument in Conjunction with the KLS Martin HF Generator
maxium®
Tel. 03641-93 4214
Fax 03641-93 3969
From 29.01.2008 to 07.08.2008, we used in Jena the KLS Martin device
combination consisting of a 10-mm marSeal instrument and the HF
generator maxium® for various gynecological interventions.
Interventions:
The marSeal/maxium® combination just mentioned was used for surgical
interventions in gynecology, especially for salpingectomy, adnexectomy,
hysterectomy, omentectomy and adhesiolysis.
A power setting of 80 W was used on the HF generator, as indicated for
the type of current in question (SealSafe®) and the above-mentioned
instrument.
Assessment:
The reusable 10-mm marSeal instruments used for these indications
were employed for the most diverse sealing tasks involving subsequent
tissue dissection. Thanks to the modularity of the system, which offers
two different shaft lengths (200 and 370 mm), the instruments can be
used in laparoscopic as well as in open surgery. No previous vessel
dissection was necessary in any of these cases.
Poliklinik,
Dysplasie,
Urogynäkologie,
Abendsprechstunde,
Kindergynäkologie:
Tel. 03641-93 3492
Fax 03641-93 3351
Brustzentrum
Brust-Sprechstunde,
Plastische Operationen,
Nachsorge:
Tel. 03641-93 3205
Fax 03641-93 4215
Hormon-Sprechstunde
Kinderwunsch
Endometriose:
Tel. 03641-93 3529
Fax 03641-93 3191
Chemotherapie:
Tel. 03641-93 3559
Fax 03641-93 3699
Chefsprechstunde:
Tel. 03641-93 3063
Fax 03641-93 3064
Station 3:
Tel. 03641-93 3059
Fax 03641-93 3969
Station 4:
Tel. 03641-93 3066
Fax 03641-93 4218
Körperschaft des öffentlichen Rechts und Teilkörperschaft der Friedrich-Schiller-Universität Jena
Bachstraße 18, 07743 Jena
Telefon: 03641 9300; Internet: www.uniklinikum-jena.de
Verwaltungsratsvorsitzender:
Medizinischer Vorstand:
Wissenschaftlicher Vorstand:
Kaufmännischer Vorstand und
Sprecher des Klinikumsvorstandes:
Prof. Dr. Walter Bauer-Wabnegg
Prof. Dr. Klaus Höffken
Prof. Dr. Klaus Benndorf
Bankverbindung:
Sparkasse Jena
BLZ: 830 530 30
Kto.: 221
Rudolf Kruse
Steuernummer:
161/144/02978
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Universitätsklinikum Jena
Friedrich-Schiller-Universität Jena
Compared to disposable instruments, no differences could be found regarding the sealing
results and the time consumed by the sealing process. What must be mentioned
positively in this connection were the minimal lateral heat spread and the low incidence of
tissue adhesion to the contact surfaces. Where tissue adhesion did occur in very rare
cases, the particles could be very easily removed with a moist cloth saturated with saline
solution.
The easy handling during application resulted in shorter operating times, less lateral
damage, fewer intraoperative secondary hemorrhages, and therefore less patient stress.
The lowest Hb-value was 7.6 mmol/l. None of the patients needed a blood transfusion.
As the instrument can be fully taken apart and reassembled with ease, reliable cleaning
and reprocessing is guaranteed at any time.
Conclusion:
The marSeal/maxium® device combination used in the above applications stood the test
in routine use at our hospital.
The essential advantages that deserve mentioning here include the sealing result owing
to a good grasp and firm hold of the tissue, the subsequent dissection without any need to
exchange instruments, the minimal lateral heat spread and the minimal amount of tissue
adhesions. Considering that the tissue structures encountered in hysterectomy make very
high demands not only on the mechanics of the instrument, but on the sealing result as
well, the marSeal instrument can also be recommended for use in other fields, e.g. in
visceral surgery.
Given the resterilizability of the marSeal instrument and the low cost share of the
disposable portion (just the blade), the instrument is extremely attractive from an
economic point of view as well.
The availability of 5-mm instruments and a slight bend in the distal area were topics that
were jointly discussed with the developer.
Dr. med. O. Camara, Assistant Medical Director
Appendix to the Application Report of the University Hospital of Jena
Concernig the Use of the KLS Martin marSeal Instrument in Conjunction with
the KLS Martin HF Generator Maxium®
Adhesion, and applied marSeal instrument
Visible, narrow sealing zone
Situation after completed adhesiolysis
Uterus myomatosus
marSeal instrument applied for salpingectomy
Sealing and dissection of the round ligament using marSeal
Hysterectomy with marSeal – laparoscopic part
Hysterectomy with marSeal – marSeal applied vaginally, parametrically
Visible parametrial stump and vaginal closure following hysterectomy
Uterus myomatosus, and sealed ligamentum infundibulopelvicum
marSeal applied to ligamentum rotundum and infundibulopelvicum
Livid uterus myomatosus following dissection of the vascular supply
marSeal applied to uterosacral ligament
Dissected uterosacral ligament, and situation after completed hysterectomy
Uterus myomatosus, and round ligament dissected with marSeal
Total laparoscopic hysterectomy (TLH) with marSeal
TLH – Dissecting the vaginal part of uterus (vaginal access), and final situation
Omentectomy with marSeal
Omentectomy with marSeal
Final situation, and marSeal prior to use