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Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Modified Circular Knife in Two-Handed Endoscopic Ear Surgery: A Technical Note.

Sapna Ramkrishna Parab^1,2, Mubarak Muhamed Khan^1,2,3, Rizwan Abduljabbar Memon⁴

¹Sushrut ENT Hospital and Dr. Khan?s Research Center, Talegaon Dabhade, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|August 12, 2024

Summary

Endoscopic middle ear surgery requires specialized instruments. A modified circular knife improves access and visualization, enhancing two-handed endoscopic ear procedures.

Keywords:

Angled instruments Angulated circular knife Endoscope holder Endoscopic ear surgery Micro ear instruments

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Area of Science:

Otolaryngology
Surgical Instrumentation
Minimally Invasive Surgery

Background:

Endoscopic ear surgery offers improved visualization but necessitates instrument modifications.
Standard instruments may hinder access to difficult middle ear regions.
Instrument design is critical for safe and effective endoscopic otologic procedures.

Purpose of the Study:

To describe a modified circular knife for endoscopic middle ear surgery.
To discuss the advantages and applications of this new instrument.
To highlight its utility in two-handed endoscopic ear surgery.

Main Methods:

Development and description of a modified circular knife.
Evaluation of the instrument's performance in cadaveric or simulated settings (details not provided in abstract).
Application during two-handed endoscopic ear surgery procedures.

Main Results:

The modified circular knife facilitates access to challenging areas of the middle ear.
It allows for precise dissection without compromising the endoscope's view.
The instrument supports effective two-handed techniques in endoscopic ear surgery.

Conclusions:

The modified circular knife is a valuable addition to endoscopic ear surgery instrumentation.
It addresses the need for specialized tools in minimally invasive otologic procedures.
This instrument enhances surgical capabilities and potentially patient outcomes.