Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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light setting, which causes areas of blood flow in tissue to glow bright green. During bowel resection surgery, colorectal surgeon John H. Marks, MD, FACS, FASCRS, uses enhanced fluo- rescence imaging on Stryker's fluorescence technology to check the quality of tissue perfusion at the distal and proximal ends of the bowel before sewing them together. The imaging helps him confirm that the tissue is healthy and will heal properly, which lowers the risk of anastomotic failure. "Surgeons are often comfortable making that decision on their own without that enhancement, but there are times when truly knowing the perfusion of tissue is extremely helpful," says Dr. Marks, the direc- tor of the Colorectal Center at Lankenau Medical Center and chief of the section of colorectal surgery at Main Line Health in suburban Philadelphia. ICG fluorescence imaging helped bariatric surgeon Kelvin Higa, MD, FACS, avoid a devastating outcome during what he thought was a rou- tine gallbladder removal. During the case, he activated the fluores- cence imaging on Karl Storz's Image1 S System and quickly realized the bile duct structures were atypical. If he had moved forward with- out the help of the glowing green of the contrast dye, he might not have noticed the uniqueness of the patient's anatomy until it was too late. 9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 8 • CLEARLY BETTER The 4K imaging of Arthrex's Synergy platform provides surgeons with fine-detail views of joint tissue and cartilage. Arthrex

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