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This book provides step-by-step instructions on how to operate with 27G instrumentation in a wide range of surgical indications, including vitreous floaters, macular holes, dropped nucleus, retinal detachment, diabetic retinopathy, submacular hemorrhage, retinopathy of prematurity and much trauma. All surgeries are approached in cookbook fashion, with initial coverage of the “ingredients” (devices and instruments) and then meticulous description of preparation and performance with supporting photographs, drawings, and videos. In addition, the differences and benefits in comparison with 23G and 25G vitrectomy are highlighted. Small-gauge vitrectomy has radically changed the ways in which vitrectomy is performed. 27G vitrectomy is the most recent and most exciting development in small-gauge vitrectomy. The healing time is faster but the small diameter prolongs the duration of surgery. This obstacle has been overcome with powerful new vitrectomy machines and revolutionary vitreous cutters with two cutting blades making 27G vitrectomy as fast as 25G. This new equipment has expanded the indications for 27G surgeries immensely from detachment surgery to retinopathy of prematurity and the advent of new instruments may make 27G the gold standard in the future. This book, written by authors with huge experience in 27G vitrectomy, will enable surgeons to fully exploit its advantages.

Ophthalmology & Optometry --- Medicine --- Health & Biological Sciences --- Vitrectomy. --- Surgical instruments and apparatus. --- Apparatus, Surgical --- Equipment, Surgical --- Instruments, Surgical --- Surgery --- Surgical apparatus --- Surgical equipment --- Surgical instruments --- Equipment and supplies --- Instruments --- Medicine. --- Ophthalmology. --- Surgery. --- Medicine & Public Health. --- Vitreous body --- Medical instruments and apparatus --- Surgical technology --- Surgery, Primitive --- Eye --- Diseases

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Surgical instruments and apparatus. --- Nursing. --- Clinical nursing --- Nurses and nursing --- Nursing process --- Care of the sick --- Medicine --- Apparatus, Surgical --- Equipment, Surgical --- Instruments, Surgical --- Surgery --- Surgical apparatus --- Surgical equipment --- Surgical instruments --- Medical instruments and apparatus --- Surgical technology --- Equipment and supplies --- Instruments --- Aparells i instruments quirúrgics

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"Engineering has been an essential collaborator in biological research and breakthroughs in biology are often enabled by technological advances. Decoding the double helix structure of DNA, for example, only became possible after significant advances in such technologies as X-ray diffraction and gel electrophoresis. Diagnosis and treatment of tuberculosis improved as new technologies -- including the stethoscope, the microscope, and the X-ray -- developed. These engineering breakthroughs take place away from the biology lab, and many years may elapse before the technology becomes available to biologists. In this book, David Lee argues for concurrent engineering -- the convergence of engineering and biological research -- as a means to accelerate the pace of biological discovery and its application to diagnosis and treatment. He presents extensive case studies and introduces a metric to measure the time between technological development and biological discovery. Investigating a series of major biological discoveries that range from pasteurization to electron microscopy, Lee finds that it took an average of forty years for the necessary technology to become available for laboratory use. Lee calls for new approaches to research and funding to encourage a tighter, more collaborative coupling of engineering and biology. Only then, he argues, will we see the rapid advances in the life sciences that are critically needed for life-saving diagnosis and treatment."

Biomedical engineering. --- Medical instruments and apparatus --- Medicine --- Surgical instruments and apparatus --- Technological innovations. --- Research --- History. --- Apparatus, Surgical --- Equipment, Surgical --- Instruments, Surgical --- Surgery --- Surgical apparatus --- Surgical equipment --- Surgical instruments --- Apparatus, Medical --- Instruments, Medical --- Medical apparatus --- Medical devices --- Medical products --- Clinical engineering --- Medical engineering --- Equipment and supplies --- Instruments --- Apparatus --- Surgical technology --- Biomedical engineering --- Medical supplies --- Scientific apparatus and instruments --- Bioengineering --- Biophysics --- Engineering --- BIOMEDICAL SCIENCES/General --- INFORMATION SCIENCE/Technology & Policy --- Health Workforce

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Medical devices and surgical tools that contain micro and nanoscale features allow surgeons to perform clinical procedures with greater precision and safety while monitoring physiological and biomechanical parameters more accurately. While surgeons have started to master the use of nanostructured surgical tools in the operating room, this book addresses for the first time the impact and interaction of nanomaterials and nanostructured coatings in a comprehensive manner. Surface Engineered Surgical Tools and Medical Devices presents the latest information and techniques in the emerging field of surface engineered biomedical devices and surgical tools, and analyzes the interaction between nanotechnology, nanomaterials, and tools for surgical applications. Chapters of the book describe developments in coatings for heart valves, stents, hip and knee joints, cardiovascular devices, orthodontic applications, and regenerative materials such as bone substitutes. Chapters are also dedicated to the performance of surgical tools and dental tools and describe how nanostructured surfaces can be created for the purposes of improving cell adhesion between medical devices and the human body.

Surgical instruments and apparatus. --- Medical instruments and apparatus. --- Nanotechnology. --- Molecular technology --- Nanoscale technology --- High technology --- Apparatus, Medical --- Instruments, Medical --- Medical apparatus --- Medical devices --- Medical products --- Medicine --- Biomedical engineering --- Medical supplies --- Scientific apparatus and instruments --- Apparatus, Surgical --- Equipment, Surgical --- Instruments, Surgical --- Surgery --- Surgical apparatus --- Surgical equipment --- Surgical instruments --- Medical instruments and apparatus --- Surgical technology --- Apparatus --- Equipment and supplies --- Instruments --- Biomedical engineering. --- Biotechnology. --- Mechanical engineering. --- Surgery. --- Biomedical Engineering and Bioengineering. --- Biological and Medical Physics, Biophysics. --- Mechanical Engineering. --- Surgery, Primitive --- Engineering, Mechanical --- Engineering --- Machinery --- Steam engineering --- Chemical engineering --- Genetic engineering --- Clinical engineering --- Medical engineering --- Bioengineering --- Biophysics --- Biophysics. --- Biological physics. --- Biological physics --- Biology --- Medical sciences --- Physics

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This new edition presents information and knowledge on the field of biomedical devices and surgical tools. The authors look at the interactions between nanotechnology, nanomaterials, design, modeling, and tools for surgical and dental applications, as well as how nanostructured surfaces can be created for the purposes of improving cell adhesion between medical devices and the human body. Each original chapter is revised in this second edition and describes developments in coatings for heart valves, stents, hip and knee joints, cardiovascular devices, orthodontic applications, and regenerative materials such as bone substitutes. There are also 8 new chapters that address: Microvascular anastomoses Inhaler devices used for pulmonary delivery of medical aerosols Surface modification of interference screws Biomechanics of the mandible (a detailed case study) Safety and medical devices The synthesis of nanostructured material Delivery of anticancer molecules using carbon nanotubes Nano and micro coatings for medical devices This book is appropriate for engineers, material scientists, chemists, physicists, biologists, medical and dental professionals with an interest in biomedical devices and tools, and researchers in the same fields.

Engineering. --- Mechanical engineering. --- Nanotechnology. --- Manufacturing industries. --- Machines. --- Tools. --- Biomedical engineering. --- Manufacturing, Machines, Tools. --- Nanotechnology and Microengineering. --- Biomedical Engineering. --- Mechanical Engineering. --- Surgical instruments and apparatus. --- Medical instruments and apparatus. --- Apparatus, Medical --- Instruments, Medical --- Medical apparatus --- Medical devices --- Medical products --- Medicine --- Apparatus, Surgical --- Equipment, Surgical --- Instruments, Surgical --- Surgery --- Surgical apparatus --- Surgical equipment --- Surgical instruments --- Apparatus --- Equipment and supplies --- Instruments --- Biomedical engineering --- Medical supplies --- Scientific apparatus and instruments --- Medical instruments and apparatus --- Surgical technology --- Manufactures. --- Manufacturing, Machines, Tools, Processes. --- Biomedical Engineering and Bioengineering. --- Engineering, Mechanical --- Engineering --- Machinery --- Steam engineering --- Clinical engineering --- Medical engineering --- Bioengineering --- Biophysics --- Construction --- Industrial arts --- Technology --- Manufactured goods --- Manufactured products --- Products --- Products, Manufactured --- Commercial products --- Manufacturing industries --- Molecular technology --- Nanoscale technology --- High technology