Mediastinoscopy is used for visualization, biopsy and removal of mediastinal lymph nodes. Today, this is carried out using video-assisted techniques. On screen visualization allows the anatomical structures of the middle and posterior mediastinum to be clearly visualized with the display of detailed structures. Bimanual dissection is only possible working on a team, lymph nodes can then be completely removed; the mediastinum can also be selectively cleared as necessary.
The Video Mediastinoscope is pushed forward in vision and a blunt dissection is carried out with an aspirator up to the tracheal bifurcation. The surgeon immediately gains an optimum overview of the operation field. A generous working channel enables various working instruments to be introduced under endoscopic vision, allowing biopsies to be taken through direct visualization.
This operating set is mainly comprised of bipolar instruments. This is another feature of Richard Wolf instruments—the neutral electrode is no longer necessary. Bipolar suction tubes in particular present a unique selling point. These tubes combined with the dilating, video mediastinoscope offer unrivalled surgical opportunities.
Orientation is provided for both tubular and dilating blades with multiple adjustments. Additional surgical interventions are possible via an enlarged working space with the dilating blades.