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Surgmaster ues 40 bipolar generator

Manufactured by Olympus
Sourced in Germany

The SurgMaster UES-40 is a bipolar generator designed for use in surgical procedures. It provides a controlled electrical current for cutting and coagulation of tissue.

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3 protocols using surgmaster ues 40 bipolar generator

1

Bipolar resection and laser enucleation for BPH

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An Olympus SurgMaster UES-40 bipolar generator and OES-Pro bipolar resectoscope
(Olympus Europe, Hamburg, Germany) were used for operations in the B-TUEP
cohort. The standard energy settings for cutting and coagulation were 200 and
120 W, respectively. The enucleation and resection energies were 60 and 120 W,
respectively. The surgical technique followed the procedure presented by Liu et al. (2010) (link). All
laser enucleation procedures were performed using a 120-W thulium laser (Vela
XL, Boston Scientific, Marlborough, MA, USA) with a continuous wavelength of
1.94 μm. A LightTrail single-use laser fiber with a wavelength of 600 μm was
employed. The fiber was introduced using an Olympus 26F continuous-flow
resectoscope. Irrigation with a 0.9% sodium chloride solution was used in all
processes. The enucleated prostate tissue was ground using a Wolf Piranha
morcellator. The technique used in the ThuLEP group was described by Herrmann et al. (2010) (link).
All RASP procedures were performed using the da Vinci Si Surgical System
(Intuitive Surgical Inc., Sunnyvale, CA, USA) and employed a suprapubic and
transvesical method described by Leslie et al. (2014) (link)
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2

Bipolar Versus Thulium Laser Enucleation

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The patients in the B-TUEP group were operated on using the technique described by Liu et al.10 (link),11 (link) Our instruments included an Olympus SurgMaster UES-40 bipolar generator and an OES-Pro bipolar resectoscope (Olympus Europe, Hamburg, Germany). The cutting and coagulation energy settings were 200 and 120 W, respectively.
In the ThuLEP group, the patients were operated on using the technique described by Herrmann et al.5 (link),12 (link) A 120-W thulium laser (VelaTM XL, Boston Scientific, Marlborough, Massachusetts, USA) was used at a continuous wavelength of 1.94 μm. The laser fiber was introduced using an Olympus 26F continuous-flow resectoscope. Enucleation and resection were performed at different energy settings of 60W and 120W, respectively. The enucleated prostate tissue was ground using a Wolf Piranha Morcellator (Richard Wolf GmbH, Knittlingen, Germany).
Sodium chloride solution (0.9%; normal saline) was used for irrigation. After the operation, a 22-F, 3-way Foley catheter was placed without external traction, and the bladder was continuously irrigated with normal saline to maintain a clear urine flush. The Foley catheter was intended to be withdrawn on postoperative day 2 once the patients’ hematuria stopped.
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3

Holmium Laser Enucleation and Bipolar Plasma Vaporization of Prostate

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HoLEP and BPVP were done by two experienced urologists, respectively. Two experienced urologists performed more than 100 HoLEP and BPVP before this study, respectively. We consider that two experienced urologists overcame the learning curve of these surgical technique. HoLEP was performed using a 120 W Holmium:YAG laser (VersaPulse PowerSuite, Lumenis Surgical, San Jose, CA, USA) with a 550-nm end-firing fiber (SlimLine, Lumenis). A 26-Fr continuous-flow resectoscope with saline irrigation was used. The laser settings were 2.5 J and 40 Hz. After enucleation of the adenoma and control of bleeding, enucleated adenomas were removed from the bladder using a mechanical tissue morcellator (Versa-Cut, Lumenis) with an indirect nephroscope. [8 (link)] The BPVP technique required the Olympus SurgMaster UES-40 bipolar generator (Olympus, Tokyo, Japan) under continuous flow saline irrigation with a standard button- or mushroom-type vapo-resection electrode. During BPVP, the button-type electrode presenting a plasma corona on its surface was moved forward and backward in close contact with the prostatic tissue, which was vaporized layer-by-layer until reaching the surgical prostate capsule. The BPVP output was controlled flexibly to achieve a bloodless operation field for proper tissue vaporization and simultaneous hemostasis.
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