Register

You do not have an Account? Register now

Austria
de
Belgium
fr de nl
France
fr
Germany
Italy
it
Netherlands
nl
Poland
pl
Switzerland
de fr it
United Kingdom
en
Россия (Russia)
ru
中華人民共和國 (China)
cn
India
en
USA
en
Erbe Headquarters
Erbe Worldwide

Please choose a website and your preferred language.

Skip navigation

Waterjet-assisted TEM-ESD with ERBEJET® 2

  • Adenomas, rectal, broad-based, non-muscle invasive
  • T1 low risk carcinomas
Please register or enroll to receive a complete overview of the downloads of interest to you. » Login

Brochure

Use of Electrosurgery 1,17 MB EN

Leaflet

ERBEJET 2 634,09 KB EN
VIO D 462,47 KB EN

Operation steps

  • Waterjet elevation with ERBEJET® 2
    Waterjet elevation with ERBEJET® 2

    The waterjet technique creates a submucosal edema which permits the surgeon to dissect precisely between the submucosal and muscular layers. Blood vessels which run through the elevated layer are easily distinguished for coagulation and dissection with the high frequency needle knife.

  • Incision and circular opening of the mucosa with HF current
    Incision and circular opening of the mucosa with HF current

    The cushioned submucosa creates a safety margin to the muscularis, minimizing the risk of perforation - both when incising and cutting circularly around the lesion in ESD procedures.

  • Dissection
    Dissection

    Dissection starts at the distal end of the lesion by cutting sequentially through the mucosal and submucosal layer reaching finally the muscular layer. Optimal resection properties and a high degree of safety during resection is provided by use of the ERBE VIO Modes such as ENDO CUT Q, DRY CUT or SWIFT COAG.

  • Re-elevation
    Re-elevation

    The cushion remains in place during resection. If necessary the fluid cushion can be re-elevated by further ERBEJET activations to ensure that its protective function will remain in place for the duration of the resection.

  • Checking the completeness of the resection
    Checking the completeness of the resection

    Finally the completeness of the resection is controlled. The resected specimen is pinned on a cork plate, measured and sent to the pathology department for examination of the margins and definitive histology.