Minimal invasive

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Documentation and certification

The German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) has been developing its nation-wide quality assurance programme since 1987. ‘We launched this instrument very early and on a voluntary basis. Other medical associations have been forced to do so by law,’ explains Professor Arno Bücker, Member of the Board at DeGIR and Director of the Clinic for Diagnostic…

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The 16th IFSO World Congress

September saw the international crème de la crème of bariatric surgery descend on Hamburg for the 16th World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO 2011). Among their discussions: new minimally invasive procedures, the importance of aftercare and the lack of recognition of the importance of surgical treatment of the severely obese in…

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Bariatric surgery: A last resort -- or the only way to go?

More than half of the European population is overweight, or worst, obese. When diet and lifestyle changes do not result in permanent weight reduction in obese patients, bariatric surgery is now considered a final option. But, that’s far too late, says Professor Rudolf A Weiner, head of the surgical department at Sachsenhausen Hospital in Frankfurt/Main, Germany, and President of the German…

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Catheter-based valve surgery

Transcatheter valve implants (TAVI) have encouraged a new group of patients. Previously inoperable, they may now receive adequate treatment. Some centres report a success rate close to the conventional open surgical procedure. Naturally, the long-term outcome is still unclear. Holger Zorn reports.

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Surgical staplers

Mechanical suturing tools are an indispensable part of modern surgery. Gastro-intestinal surgery as well as minimally invasive surgeries, would be unthinkable without this technology, a growing sub-market in an ever-growing industry, possibly driven by the patient’s benefit, writes Holger Zorn.

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Role of simulation in surgical training

Rapid technological progress and the changed working patterns of surgeons has greatly increased the demand of simulated training in the United Kingdom, notes Professor Mike Larvin, Director of RCS Education at the Royal College of Surgeons in London, where a new Education and Simulation Centre is incorporating state-of-the-art education and training facilities in response to those changes.

Combinations advance endoscopic diagnosis and treatment

Endoscopy has advanced dramatically in the past decade with innovative technologies introduced by industry and novel procedures pioneered by physicians. Given a choice among the broad range of new tools, endoscopic surgeons simply want it all -- and are asking for more. During the Medica 2010 Congress, the Innovations in Endoscopy session rang with the word ‘combinations’.

Transcatheter aortic valve implants bear risks

Every year thousands of patients with less than one year to live are denied a heart valve replacement because they are too frail to undergo surgery. These patients tend to be over 75 years of age and suffering from multiple health problems, such as respiratory conditions that preclude general anaesthesia, end-stage failure of liver or kidneys, or a history of coronary surgery. Two years ago they…

Liver Cancer in Cirrhotic Patients Effectively Treated with Radiofrequency Ablation

Researchers from Italy determined that radiofrequency ablation (RFA) is a safe and effective therapy for managing hepatocellular carcinoma (HCC) in cirrhotic patients. The high repeatability of RFA is advantageous in controlling recurrences of cancerous tumors in the liver. Results of this 10-year retrospective study are available in the January 2011 issue of Hepatology, a journal published by…

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An integrated system for LESS surgery

Olympus Deutschland GmbH (http://www.olympus.de) is at Medica showing its integrated system for LESS surgery. Laparoscopic surgery involves an insufflation of the abdomen with carbon dioxide gas, Olympus explains.

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Colonic stents - buying time for surgery

In 2006, about 307,432 new cases of colorectal cancer arose in the European Union. The rates varied by a factor of two for women and three for men. The lowest rates were in Greece; the highest in Hungary and the Czech Republic. The incidence of colorectal cancer is increasing in Europe, particularly in the south and east, where rates were originally lower than in Western Europe.

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