LATEST EDITION
Surgical Technology International XVIII
Edited by:
Zoltán Szabó, PhD, FICS,
Prof. A. Johannes Coburg,
Raghu S. Savalgi, MD, PhD(surg), FRCS
Harry Reich, MD, FACS, FACOG,
Manabu Yamamoto, MD, PhD.,
Harold Brem, MD
STI XIX - UPCOMING ARTICLES - Full list
Single Radius Total Knee Arthroplasty: PCL Sacrifice Without Substitution Yields Excellent Outcomes - Minimum 8-Year Follow-Up
Steven F. Harwin, MD, FACS
Chief of Adult Reconstructive Surgery of the Hip and Knee,
Beth Israel Medical Center,
Associate Professor of Orthopaedic Surgery,
Albert Einstein College of Medicine,
New York, New York, USA
Mark Kester, PhD
Senior Director Research,
Stryker Orthopaedics,
Mahwah, New Jersey, USA
Abstract: Posterior cruciate ligament (PCL) retaining total knee arthroplasty (TKA) is bone conserving and relies on the retained ligament to provide posterior stability. PCL sacrifice allows for easier correction of deformity, a better range of motion, and predictable kinematics. It was hypothesized that using a novel single radius TKA design, coupled with a double-dished articular geometry, would yield satisfactory stability and outcomes by sacrificing the PCL without substitution. A consecutive series of 94 cemented Scorpio (Stryker Orthopaedics) single radius PCL retaining total knee arthroplasties using that strategy, with a minimum 8-year follow-up, is presented. An early return of range of motion and extensor mechanism function was also demonstrated. No cases of instability and no revisions related to the technique occurred. As predicted, clinical and radiographic outcomes were excellent regarding pain relief and functional activities.
Dominique C.R. Hardy, M.D.
Consultant Surgeon, Department of Orthopedic Surgery,
Free University of Brussels,
Brussels, Belgium
Bearing Mobility Affects Tibial Strain in
Mobile-Bearing Unicompartmental
Knee Arthroplasty
Scott R. Small, M.S.
Engineering Director
Michael E. Berend, M.D.
Fellowship Director
Merrill A. Ritter, M.D.
Research Director
Joint Replacement Surgeons of Indiana Research Foundation Mooresville, IN
Christine A. Buckley, Ph.D.
Associate Professor of Applied Biology and Biomedical Engineering
Rose-Hulman Institute of Technology
Terre Haute, IN

Didier Mutter, M.D., Ph.D, F.A.C.S.
Clinical Professor, Gastrointestional Surgery
Cosimo Callari, M.D.
Resident, General and Laparoscopic Surgery
Jacopo D'Agostino, M.D.
Resident, General and Laparoscopic Surgery
Ronan A. Cahill, M.D., F.R.C.S.
Consultant Surgeon, Colorectal and Laparoscopic Surgery
Antonello Forgione, M.D.
Consultant Surgeon, Laparoscopic Surgery
Michel Vix, M.D.
Clinical Professor, Laparoscopic Surgery
Joël Leroy, M.D., F.R.C.S.
Clinical Professor, Colorectal and Laparoscopic Surgery
Jacques Marescaux, M.D., F.R.C.S., F.A.C.S.
Professor and Chief of Digestive Surgery
IRCAD/EITS, Department of Digestive and Endocrine Surgery, University Hospital of Strasbourg
FOREIGN LANGUAGE ARTICLES
Venous Thromboembolism Prophylaxis: Role of Factor Xa Inhibition by Fondaparinux
A. G. G. Turpie, M.D., F.R.C.P.,
Profilaxis de la tromboembolia venosa: Papel del Fondaparinux como inhibidor del factor Xa
Profilassi del Tromboembolismo venoso: ruolo dell’inibizione del fattore Xa con fondaparinux
Профилактика венозной тромбоэмболии: Роль ингибитора Xа фактора фондапаринукса
SURGERY CLASSICS
Experimental Comparison
of the Stapled Intestinal
Anastomotic Techniques
Kentaro Kawasaki, M.D., Ph.D.
Tadahiro Goto, M.D.
Yasuhiro Fujino, M.D., Ph.D.
Takashi Kamigaki, M.D., Ph.D.
Daisuke Kuroda, M.D., Ph.D.
Yoshikazu Kuroda, M.D., Ph.D.
Pre-Clinical Evaluation of a Next-Generation Spray Adhesion Barrier for Multiple Site Adhesion Protection
Roger Ferland, MD, FACOG
Patrick K. Campbell, Ph.D.
Advanced Technologies for Cardiac Valvular Replacement, Transcatheter Innovations and Reconstructive Surgery
W. R. Eric Jamieson, M.D., F.R.C.S. (C.), F.A.C.S., F.A.C.C.
SILVER© Versus Other
Antimicrobial Dressings: Best Practices!
Kevin Y. Woo, R.N., M.Sc., Ph.D. (C),
Elizabeth A. Ayello, Ph.D.,
R. Gary Sibbald, B.Sc., M.D.,
Role of Keratinocytes in
Healing of Chronic Wounds
Irena Pastar, Ph.D.,
Senior Postodoctoral Fellow
Olivera Stojadinovic, M.D.
Marjana Tomic-Canic, Ph.D.
Order
In-Vivo Endoscopic Visualization of Patho-Anatomy in Painful Degenerative Conditions of the Lumbar Spine
Anthony T. Yeung, M.D.
Christopher A. Yeung, M.D.
Percutaneous Vertebral Augmentation and Reconstruction with an Intravertebral Mesh and Morcelized Bone Graft
John C. Chiu, M.D., D.Sc., F.R.C.S.
Michael T. Stechison, M.D., Ph.D.
STI XV

Table of Contents
STI XIV

Table of Contents
STI XIII

Table of Contents
STI XII

Table of Contents
SURGICAL TECHNOLOGY INTERNATIONAL
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"The editors of Surgical Technology International have developed a superb monograph which deserves close attention by not only physicians but also the individuals who are responsible for supporting the economics of medicine." …
Frederick L. Greene, M.D., F.A.C.S.
Chairman, Department of Surgery
Carolinas Medical Center, Charlotte, NC, USA
Editor-in-Chief:

Zoltan Szabo, Ph.D., F.I.C.S.
Dr. Szabo accomplishments in medical research and education have primarily been in magnified surgery, beginning with microsurgery in 1972 (Reconstructive Neurovascular, Fertility surgery, Urology, Ophthalmology) and subsequently in laparoscopic surgery two decades later (general, gynecology, urology, fetal, and cardiovascular Robotic surgery). He was involved with pioneering work in both modalities including research and development of techniques, teaching methodology, clinical applications, instrumentation and sutures, all of which have become standards in numerous surgical specialties.
Established the first multidisciplinary microsurgery training and research laboratory with coworkers and they subsequently published the first teaching manual in 1975
Among other factors “Training the trainers” program was responsible for the rapid dissemination of this new modality.
In 1983 conducted a series of microsurgery lectures and workshops in Hungary the first in a series of micro and later in Laparoscopic Educational Mission.
In 1991, during the first Advanced Laparoscopic Course at the University of Utah Medical School the systematic suturing technique was introduced by Dr. Szabo, heralding in the second phase of laparoscopic evolution: Advanced Laparoscopy.
In 1992 at UC Davis with coworkers created the first successful Laparoscopic Radical Prostatectomy study on dogs proving its feasibility for clinical application.
In 1992 Established and run the first Formal Academic Laparoscopic teaching course as an Associate Director with coworkers at the University of California, Medical School, and Dept. of Surgery which served as a model that many other programs had emulated world wide.
He was first to accomplish a successful LIMA to LED anastomosis (22 minutes) in
A surviving large animal model using a remote Surgical Robot (Zeus), proving its potential usefulness in cardiac surgery.
He was also a principal member of a team which was first to develop direct fetal (fetoscopic) percutaneus-transuterin access and operative techniques at UCSF in a joint project with the University Of Munster, Germany
1993 First Base of the Brain Workshop with University of St. Louis, Medical School, Dept. of Neurosurgery
1993 The first series of Advanced Laparoscopic Workshop in Pecs, Debrecen, Szeged, and subsequently several workshop every year until accepting the invitation of University Szeged Medical School as a Visiting Professor to train the in house residents and interested Clinicians in 2003 an co editing the course Syllabus in 2006.
Dr. Szabo has trained thousands of surgeons over the past thirty years worldwide.
Organized extensive training programs, workshops in USA, Canada, Singapore, Florence, Caracas, Neuss, Tokyo, New Delhi, Ludhiana, Mumby, Ujvidék, Szeged, Pécs, Debrecen and Budapest.
Conducted Advanced Laparoscopic workshops in India in 1996, 2003 and 2004
He has written extensively(13 books), including co-authoring a textbook, editing an annual surgery review book, numerous book chapters and serving on the editorial board of various surgical journals.
Dr. Szabo is a Fellow of the International College of Surgeons, U.S. Section, and he is a honorary member of three prestigious surgical societies: the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), Hungarian Gynecological Society, Yugoslav Endoscopic Society, honorary member, and Society of Reconstructive Microsurgery (associate member). He is a member of several other surgical organizations and is the founder and Director of the Microsurgery & Operative Endoscopy Training (MOET) Institute in San Francisco, accredited with commendations for educational design from the Accreditation Council for Continuing Medical Education (ACCME).
Previous formal academic affiliations have included with the University of the Pacific, School of Dentistry, (San Francisco) and the University of California School of Medicine, San Francisco (UCSF) He currently serves on various committees of SAGES and is the recipient of numerous awards for his research work and innovative teaching methodology, including commendations for educational design from the Accreditation Council for Continuing Medical Education.
Dr. Szabo has always worked with the outstanding pioneers of surgery and their ambitious disciples, seamlessly combining talents, providing leadership, organizational skill and working tirelessly on a global scale, advancing the Science of Magnified Surgery.
In Hungary the first educational visit took place in 1983 when Pof. Gal and Prof. Lampe arranged a microsurgical workshop in Debrecen, Prof. Kis the leader of the OTKI arranged a workshop in Budapest. There was a Lecture and workshop in Szeged on the invitation of Prof. Herceg.

Prof. A. Johannes Coburg
Dr. A. Johannes Coburg had his surgical training at Oldenburg, starting 1966, and Hannover. 1969/70 he was research fellow on the field of organ transplantation with Professor Thomas Starzl at Denver. Back to Hannover Medical School, he became senior co-worker with Professor Rudolf Pichlmayr in general surgery and organ transplantation. 1978 he was elected to become head of Surgical Clinic I (General and Vascular Surgery) in the City Hospital Neuss/Rhine, Teaching Hospital of University of Düsseldorf.
His research was confined to transplant immunology, immunosuppression, vascular access surgery, and many various general surgical topics. His thesis (Habilitation) about „Clinical Application of Normovolemic Hemodilution“ (1975), using autologous blood in order to save homologous blood transfusions, was correlated with extended circulatory and coagulation studies in major surgical procedures. For lectures about this topic he was invited by eight American University Hospitals that he visited on a round trip in 1976 (Boston, Chicago, Denver, San Francisco, a.o.).
In 1979, he became Professor of Surgery.
His clinical work at Neuss comprised general (visceral), vascular, and thoracic surgery.
In 1990, he established endodcopic surgery in the City Hospital Neuss. From 1991 symposia and workshops for training in endoscopic surgery, under the auspices of German Society of Surgery, were started to be held twice a year, for 2 days each, throughout 2002, most of which together with Professor Zoltan Szabo as Chief Tutor.
Dr. Coburg has given 122 written publications and given 168 oral presentations. He is a member of German Society of Surgery since 1972, of German Society of Vascular Surgery and Endovascular Therapy, of Northern-German, Rhine-Westfalian and Middle-Rhine Society of Surgery. In 2001, he was honored with the Silver Medal of the City of Neuss.
After retirement, he continues teaching at surgical seminars for medical students. He partakes in voyages and river cruises as a ship´s doctor. He is an advisor in medical litigation lawsuits, and helps to foreward the hospice idea. He is also involved in the article selection process, commissioning key authors and new surgical topics for Surgical Technology International.

Manabu Yamamoto, MD, Ph.D
Manabu Yamamoto, MD PhD, Director and Chairman, Adachi Kyosai Hospital, Tokyo, Japan
Dr. Yamamoto started his endoscopic career during the surgical internship in 1985. He did more than 500 procedures per year using flexible endoscopy including UGI, colonoscopy, ERCP, EST, polypectomy, hemostasis and EIS/EVL other than the surgeries. During his fellowship at University of Colorado (1990-1992), he worked closely with Professor Greg Van Stiegmann who pioneered laparoscopic cholecystectomy. This has greatly influenced the future direction of his carrier. Now, he is one of the leading endoscopic surgeon for both Japanese and American societies.
He also is well known as a director and chief singer of Japanese comedy touch singing/dancing surgeons group called “SAGES Far East” and acts at many meetings in the World. Dr Yamamoto is Board member of Japan Society for Endoscopic Surgery as well as the Society of American Gastrointestinal Endoscopic Surgeons (SAGES)
Raghu S. Savalgi, MD, PhD(surg), FRCS
Harry Reich, MD, FACS, FACOG,
Dr. Harry Reich is the immediate past president of the International Society for Gynecologic Endoscopy (ISGE) and was honorary chairman of the 2006 AAGL annual meeting. He is known worldwide as a pioneer in the field of laparoscopic surgery. His special interest and expertise include total laparoscopic hysterectomy for the large uterus, excision of rectovaginal endometriosis, adhesion surgery, and prevention and management of laparoscopic complications.
In 1991, Dr. Reich received the Excel Award for extraordinary contributions to laparoscopy from the SLS and is the first non-European honorary member of the European Society of Gynecologic Endoscopy. He was the director of advanced laparoscopic surgery at Columbia Presbyterian Medical Center in New York City from 1995 to 2000.
Dr. Reich performed a number of “firsts”, including laparoscopic electrosurgical oophorectomy, laparoscopic hysterectomy, total laparoscopic hysterectomy, laparoscopic lymphadenectomy in women (for ovarian c/a) and men (for prostate c/a), laparoscopic rectal resection (for excision of full thickness rectal endometriosis), laparoscopic hysterectomy for cancer, fetoscopic umbilical cord ligation (for an acardiac twin at 19 weeks gestation).
Dr. Reich’s professional memberships include the Society of Laparoendoscopic Surgeons (Past President), the International Society of Gynecologic Endoscopists (Past President) and the AAGL. Currently, Dr. Reich operates internationally at workshops.

Harold Brem, MD
Trained as a general surgeon, Harold Brem, MD FACS is the Chief of the Division of Wound Healing & Regenerative Medicine.
He leads the Helen & Martin Kimmel Wound Center, as part of NYU’s Department of Surgery. The program focuses on improving clinical outcomes for all wound patients as objectively measured by decreased wound area and improved quality of life. Dr Brem directs a basic science research laboratory, a clinical outcomes program; an outpatient wound center and a dedicated inpatient wound unit. The Helen L. and Martin S. Kimmel Wound Center exposes an integrative team approach with over 40 individuals particularly
Synergizing care with plastic Surgery, Orthopedic and Vascular surgery
Dr. Brem's research, funded by the NIH includes a wound-healing laboratory focused on molecular and cellular basis of non-healing wounds, as well as novel delivery systems. His work has focused on all aspects of care including surgical technique, writing protocols, clinical trials, and wound outcomes-related research. He also developed a comprehensive Wound Electronic Medical Record (WEMR).
Additionally, he has focused on the development of standard protocols for treatment of chronic wounds and the integration of multidisciplinary, evidence-based practices for optimal outcomes in non-healing wounds, objectives that serve as the foundation for this conference. Dr. Brem is the author of numerous peer reviewed manuscripts and a recipient of multiple NIH research grants. Presently, the NYU Wound Center has 6 NIH grants
His passion for clinical education is apparent in the design of this certificate course. The focus is not just in providing the clinician with the best available scientific information, but rather how they can translate this knowledge into their daily practice.
Editorial Advisory Board
Mohan C. Airan, M.D., F.A.C.S.,
F.A.C.M.Q.
Chicago, Illinois
Tom Bates, F.R.C.S.
Ashford, UK
Giorgio Brunelli, M.D.
Brescia, Italy
John C. Chiu, M.D., D.Sc, F.R.C.S.
Newbury Park, California
Stephen Chadwick, M.S.,
F.R.C.S.
London, U.K.
Sir Alfred Cuschieri, M.D.,
Ch.M., F.R.C.S. Ed.
Dundee, U.K
Gergely Csáky, M.D., Ph.D.
Debrecen, Hungary
Suresh V. Desphande, MD,
New Delhi, India
Gary A. Fantini, M.D., F.A.C.S.
New York, New York
Michel Gagner, M.D., F.R.C.S.C., F.A.C.S.
New York, New York
István Gál, M.D., Ph.D.
Gyöngyös, Hungary
Kenneth Hansraj, M.D.
New York, New York
Edward R. Howard, M.S.,F.R.C.S.
London, U.K.
W. R. Eric Jamieson, M.D.,F.R.C.S.
Vancouver, BC, Canada
Steven G. Kaali, M.D., F.A.C.O.G.
New York, New York
Morris D. Kerstein, M.D.,F.A.C.S.
Philadelphia, Pennsylvania
Jonathan Kruskal, Ph.D.
Boston, Massachusetts
James E. Lewis, M.D., F.A.C.O.G.
San Francisco, California
Adolph Lombardi, M.D.
Columbus, Ohio
Paolo Maccharini, M.D.
Hannover, Germany
R. Unnikrishnan Nair, M.D.,F.R.C.S.
Leeds, U.K.
Ernane D. Reis, M.D.
New York, New York
Col. Richard M. Satava, D.,F.A.C.S.
Seattle,, Washington
Paul S. Strange, M.D., F.A.C.S.
Indianapolis, Indiana
Christof Sohn, M.D.
Heidelberg, Germany
Articles Featured in STI XVII Edition:
Single Port Access (SPA™) Minimal Access Surgery Through A Single Incision
Paul G. Curcillo Ii, M.D., F.A.C.S, et al.
NOTES Technical Aspects - Hype Or Hope?
Hubertus Feussner, M.D., Physician, et al.
Current Status of Venous Thromboembolism Prophylaxis
Juan I. Arcelus, M.D., Ph.D., Professor of Surgery,
Peter E. Goretzki, M.D., et al.
Adhesions Following Surgery Pathogenesis And Current Experience With Adhesion Barriers
Christopher Sutton, M.A., F.R.C.O.G., et al.
R.D. Moore, M.D., D.O., F.A.C.O.G., F.A.C.S.,
Early Results of the Birmingham Mid-head Resection Arthroplasty
Nemandra A. Sandiford, M.R.C.S., M.F.S.E.M, John Skinner, MD FRCS