Johnson & Johnson Institute
Total vaginal hysterectomy with Steven McCarus, MD
Commonly used devices
Commonly used equipment
Electrocautery instrument (hook or spatula), suction-irrigator, uterine manipulator
Energy
ENSEAL™ X1 Large Jaw Tissue Sealer
Designed for use in open surgical procedures, the ENSEAL™ X1 Large Jaw Tissue Sealer is an advanced bipolar energy device that delivers strong seals.1A Its 360-degree shaft rotation enables easy access to targeted tissue2-4, along with separate seal and cut capabilities.3,4 Conveniently placed functionality supports reduced hand movement.5
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
Topical skin adhesive
DERMABOND™ PRINEO™ Skin Closure System
The DERMABOND™ PRINEO™ Skin Closure System offers a powerful, non-invasive alternative to traditional skin sutures and staples. It combines the strength, flexibility, and microbial protection of DERMABOND ADVANCED™ Topical Skin Adhesive with a secure, latex-free, self-adhering mesh to facilitate optimal skin closure and healing.1-7A In a clinical study, the DERMABOND™ PRINEO™ System was associated with a better cosmetic outcome than conventional suturing in skin closure. 8B
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
Steven McCarus. 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.
Steven McCarus, MD is con1pensated 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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