Johnson & Johnson Institute
Laparoscopic donor nephrectomy
Commonly used devices
Commonly used equipment
5 mm or 10 mm 30-degree laparoscope, endoscopic shears with monopolar energy, endoscopic Maryland dissector
Energy
HARMONIC™ 1100 Shears
When operating in tight spaces or near vital structures, precision is essential. HARMONIC™ stands unrivaled as the undisputed ultrasonic leader and proven to deliver minimal thermal impact on tissue1,2A with precise energy delivery.3,4 HARMONIC™ 1100 Shears, our most advanced ultrasonic device, delivers secure vessel sealing up to and including 7mm5-7, faster transection speeds, lower maximum blade temperatures, and more precise tissue dissection.8-12B
Energy devices
MEGADYNE™ Electrosurgical Pencils
Disposable, lightweight MEGADYNE™ Electrosurgical Pencils are pre-loaded with MEGADYNE™ E-Z CLEAN™ Electrosurgical Electrodes or Stainless Steel Electrodes. They deliver monopolar energy for dissection and are easily cleaned with a damp sponge.
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Ligation
LIGACLIP™ Endoscopic Rotating Multiple Clip Applier
The LIGACLIP™ Endoscopic Multiple Clip Applier is designed to deliver reduced clip scissoring, better in jaw security, and better security on vessel clip formation.1A
Staplers
ECHELON FLEX™ Powered Vascular Stapler
In thoracic surgery, tight spaces can limit visibility, control, and access, making it difficult to navigate critical anatomy with confidence. The narrow anvil, increased articulation, and smaller shaft diameter of the ECHELON FLEX™ Powered Vascular Stapler, improved access in VATS procedures, enabling precise placement on fragile pulmonary vessels.1A
Trocars
ENDOPATH XCEL™ Trocars
Trocars are the first point of contact into a patient during minimally invasive procedures and need to do many jobs - maximize visibility and maneuverability, enable surgical flow, and minimize exposure to pneumoperitoneum gas. ENDOPATH XCEL™ Trocars are designed to offer the control1,2A-D and consistency3-5E-G needed throughout the procedure from open to close.
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Specimen bag
ENDOPOUCH RETRIEVER™ Specimen Bag
The ENDOPOUCH RETRIEVER™ Specimen Bag System is designed to simply capture specimens during laparoscopic procedures. It has two support arms to facilitate bag opening and tissue capture. The retrieval bag and support arms connect seamlessly to the shaft and introducer, so the retriever may be easily used to extract specimens.1
Suture
Coated VICRYL™ Plus Antibacterial (Polyglactin 910) Suture
Surgical site infections (SSIs) are the most common type of hospital-acquired infection.1 Part of the Ethicon suture portfolio, Coated VICRYL™ Plus Antibacterial Sutures provide the same handling and performance as traditional Coated VICRYL™ (polyglactin 910) Sutures while dependably providing antibacterial protection.2-9
Coated with triclosan, these absorbable sutures were associated with nearly 30% reduction in the risk of SSIs10,11A Backed by the highest level of clinical evidence,8,12-16H these sutures offer an added layer of protection against the most common pathogens associated with SSIs in an in vitro study.2,4,5BC
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Suture
MONOCRYL™ Plus Antibacterial (poliglecaprone 25) Suture
Surgical site infections (SSIs) are the most common type of hospital-acquired infection.1 Part of the Ethicon suture portfolio, MONOCRYL™ Plus Antibacterial Sutures provide the same handling and performance as traditional MONOCRYL™ (Poliglecaprone 25) Sutures while dependably providing antibacterial protection.2-9
Coated with triclosan, these absorbable sutures were associated with nearly 30% reduction in the risk of SSIs.10,11A Backed by the highest level of clinical evidence,8,12-16H these sutures offer an added layer of protection against the most common pathogens associated with SSIs in an in vitro study.2,4,5BC
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Suture
PDS™ Plus Antibacterial (polydioxanone) Suture
Surgical site infections (SSIs) are the most common type of hospital-acquired infection.1 Part of the Ethicon suture portfolio, PDS™ Plus Antibacterial Sutures provide the same handling and performance as traditional PDS™ (Polydioxanone) Sutures while dependably providing antibacterial protection.2-9
Coated with triclosan, these absorbable sutures were associated with nearly 30% reduction in the risk of SSIs.10,11A Backed by the highest level of clinical evidence,8,12-16H these sutures offer an added layer of protection against the most common pathogens associated with SSIs in an in vitro study.2,4,5C
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
Stuart Geffner, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
Stuart Geffner, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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