KOH Ultramicro Laparoscopic Suturing System
True
microsurgery involves the use of 6-0, 7-0, and 8-0 sutures. Laparoscopic instruments were
previously too large and laparoscopic resolution and magnification too low to visualize
the hair-like suture and anatomical structures adequately. The advent of higher resolution
video technology and advances in rigid laparoscope optics has made it possible to develop
a dedicated system of laparoscopic microsurgical instruments designed for a broad range of
operative procedures.
The
KOH Ultramicro Laparoscopic Suturing System was designed in conjunction with Charles Koh,
MD, Reproductive Specialty Center, Milwaukee Institute of Minimally Invasive Surgery,
Milwaukee, Wisconsin.
The
KOH Ultramicro Series is used with the KARL STORZ 10 mm 0° Laparoscope and KARL STORZ
Imaging video system. The combination of the KARL STORZ HOPKINS 11 Laparoscope and its
excellent depth of field, and the KARL STORZ TRICAM video system with its unique parfocal
zoom and higher magnification results in the unparalleled detail required to perform
laparoscopic microsurgery. The KOH Ultramicro Series instruments have been developed to
suture structures as small as 0.5 mm and feature a series of graspers and scissors with
miniature jaw styles designed to handle 6-0 to 8-0 suture with ease and precision. The KOH
Ultramicro Series instruments have shafts that are 2 mm and 3 mm with accompanying
cannufas so that the abdominal incisions are truly minimally invasive.
Features and Benefits:
- Designed specifically for Laparoscopic Microsurgery - Wide range of precision jaw configurations for full range of applications
- Unique jaw design to maximize ability to hold suture to 8-0 securely without tearing
- Procedure-specific micro-needle holder designed for precise control of microsuturing needle
- Stepped shaft to maximize durability and deliver unobstructed distal view of anatomy/ pathology
- Non-reflective shaft and jaws for optimal video rendition
- Ergonomic handle, ratcheted and non ratcheted designs
The advantages of the KOH Ultramicro Laparoscopic Suturing Series are:
- Smaller incisions/less scarring
- Need for suturing during closure is reduced
- Trauma to the abdominal wall is minimized
- Reduces the incidences of trocar site hernias
- Shorter hospital stay/less post-op pain
- Shorter convalescence
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| Transected proximal fallopian tube. The serosa has been circumscribed using either the KOH Ultramicro Needle Electrode or KOH Ultramicro Scissors, blunt. | The KOH Ultramicro curved irrigation cannula is gently inserted into the new proximal opening of the fallopian tube and contrast medium is injected and observed to emerge from the fimbrial end confirming distal patency. |
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| An 8-0 suture is placed at 6 o'clock. | The 8-0 suture is tied intracorporally |
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| A 12 o'clock, 8-0 suture has been inserted and is held, bringing the tube in good apposition. From this point on, 3 and 9 o'clock sutures are inserted and tied. | At completion, the tube is now patent without leakage. |