Thyroidectomy with ERBE BiClamp®

Optimal surgical results through bipolar thermofusion

Thyroidectomy with ERBE BiClamp®
Thyroidectomy with ERBE BiClamp® Thyroidectomy with ERBE BiClamp® 		With more than 100,000 annual cases, thyroid procedures are among the most frequently performed surgical interventions in Germany. These interventions are carried out in highly visible areas (i.e. at the front of the throat); for cosmetic reasons they are therefore performed through the smallest possible opening. Preferred approaches include endoscopic techniques, minimally invasive video-assisted techniques (MIVAT) and minimal incision techniques (Kocher transverse collar incision). Prior to resection the points of access and the organs are exposed; vessels and tissue structures are thermofused with an ergonomic instrument, the BiClamp 150 C. The geometry of the BiClamp’s jaws offers good visibility, even when the points of access are narrow. Clips or sutures are generally not required. The VIO electrosurgical system supports bipolar coagulation with ERBE BiClamp with its specifically developed hardware and software.

Indications

  • Struma
  • Thyroid carcinoma
  • Autonomous adenoma

Advantages of ERBE equipment

  • Better handling through ERBE BiClamp, which makes dissection easier
  • Reduced procedure time
  • Minimal thermal damage
  • Improved access to this challenging anatomic area by means of a customized shape of the branches
  • ERBE BiClamp is a reusable instrument
  • Cost-effective procedure

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Operation steps
Preparing and exposing the lower pole of the thyroid lobe

Preparing and exposing the lower pole of the thyroid lobe

The branches of the arteria thyreoidea inferior in the lower pole of the thyroid lobe is prepared and exposed.
Thermofusion of the branches of the arteria thyreoidea inferior

Thermofusion of the branches of the arteria thyreoidea inferior

During mobilization of the lower pole the branches of the inferior thyroid artery are thermofused using the BiClamp 150 C and then divided. Using the ERBE VIO System a bipolar electrosurgical current is applied which has been optimally adjusted. The patented AUTO STOP function automatically stops the sealing process when optimal thermofusion has been achieved.

Mobilization of the thyroid lobe

Mobilization of the thyroid lobe

The thyroid lobe is now gradually mobilized through continuous thermofusion and division of the vessels using ERBE BiClamp 150 C.