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Going Green for the Greater Good - March 2020 - 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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MCV00100368 REVA EXP 02/22 Getinge is a registered trademark of Getinge AB, its subsidiaries, or affiliates in the United States or other countries • Copyright 2020 Getinge AB or its subsidiaries or affiliates • All rights reserved. Sales Office · Getinge · 45 Barbour Pond Drive · Wayne, NJ 07470 Sales Office , Canada · 90 Matheson Blvd. West, Suite 300 · Mississauga, Ontario, L5R 3R3 · Canada w w w.getinge.com Learn more about these products, as well as all Getinge has to offer your ASC, at: www.getinge.com Did you know? What could possibly go wrong? In medieval Europe, barber-surgeons were often uneducated, illiterate, medi- cal practitioners. Besides cutting hair, they performed surgery — often, on the war-wounded. The red and white pole, which is still used to identify a barber's shop, was originally intended to reflect the blood and napkins used to clean up during bloodletting. The organization of the United Company of Barber Surgeons of London in 1540 marked the beginning of some control of the qualifications of those who performed operations. More coffee, anyone? The longest surgery on record occurred in 2001 and lasted more than four straight days — 103 hours to be exact. A team of 20 doctors at Singapore General Hospital worked in shifts to separate 11-month-old twins conjoined at the head. The operation was a success. Know for sure. When it comes to validating effective steam sterilization, Getinge's Mini Bowie-Dick Test Pack's exclusive purple-to-green technology dramati- cally reduces the potential indication of a premature false pass by accounting for all three parameters of sterilization — temperature, time and steam quality. Chromium, tri-chloride-based ink technology requires an interaction with steam for the correct length of time and temperature to achieve a color change from purple to green. As discussed in a 2019 journal article in the Annals of Translational Medicine, surgeons continue to explore the versatility of the da Vinci System beyond its initial deployment in gynecology and urology procedures. Selected examples include: "The da Vinci surgical system also offers utility in the treat- ment of tumors of the ears, nose, and throat…assisting in the first case of robotic-assisted excision of a cystic hygroma in a patient younger than 2 years old. The robot provided greater range of motion and reduced tremor in a small area as well as an improved cosmetic outcome due to its minimally invasive nature." "The da Vinci system has also demonstrated efficacy in the removal of benign primary cardiac tumors, such as a right ventricle intracardiac lipoma and papillary fibroelastoma of mitral chordae, and even facilitates sternal-sparing access to the heart." "Robotics have been increasingly useful in the excision of spine tumors at varied sites. In one case report, a paraspinal left-sided neurogenic tumor was resected using the da Vinci Xi system where one arm was used to retract the lung and allow for posterior mediastinal visualization." "Other cases of the da Vinci system in general surgery include assistance in liver resections for benign and malignant tumors where the robot provides a safe, minimally invasive technique option. Robotics have also been documented in the successful resection of other challenging tumors including hilar cholan- giocarcinomas, malignant and benign pancreatic tumors and adrenal tumors." (An accompanying article describes how validated da Vinci racks and dedicated processing program make it possible to rinse and disinfect complex da Vinci EndoWrist instruments in Getinge's 86 Series Washer- Disinfectors and installed base of 88 Turbo units.)

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