Springer 27-Gauge Vitrectomy: Minimal Sclerotomies for Maximal Results

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. Review “The textbook 27-Gauge Vitrectomy (Springer), by Ulrich Spandau and Mitrofanis Pavlidis, is a great place to start. … it does a thorough job of preparing a surgeon for the upgrade to 27G surgery. … This book is most appropriate for vitreoretinal surgeons planning a switch to smaller-gauge instrumentation, as well as for VR fellows and early-career VR surgeons.” (Euro Times, Vol. 21 (10), October, 2016) From the Back Cover 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. About the Author Ulrich H.M. Spandau, MD, PhD, is Assistant Professor in the Department of Ophthalmology, University of Uppsala, Uppsala, Sweden. After graduating in Medicine from the University of Würzburg, Germany, Dr. Spandau completed residencies in the Departments of Ophthalmology at the University of Heidelberg and University of Mannheim-Heidelberg and surgical training at the Eye Clinic, Koblenz, Germany. He became an accredited Specialist in Ophthalmology in 2003. In 2006 he was appointed Vice Director of the Department of Ophthalmology at University of Mannheim-Heidelberg and since 2008 he has been Attending Surgeon and Head of Ocular Surgery at the Department of Ophthalmology, University Hospital Uppsala. He is the au