Mediastinoscopy is used for visualization, biopsy and removal of mediastinal lymph nodes. Today, this is carried out using video-assisted techniques.
Visualization on the screen allows the anatomical structures of the middle and posterior mediastinum to be clearly envisioned. Mediastinoscopy is used to display structures. Bimanual dissection is only possible working in a team, lymph nodes can now be completely removed, the mediastinum can also be selectively cleared as necessary (VAMLA). Qualified and safe training for thoracic surgeons is an additional aspect of video mediastinoscopy.

The Video Mediastinoscope (VAM) is pushed forward in vision and blunt dissection is carried out with the aspirator up to the tracheal bifurcation. The surgeon immediately gains an optimum overview of the operation field (mediastinum). The Video Mediastinoscope enables various working instruments (e.g. scissors, grasping forceps, aspirator, etc.) to be introduced under endoscopic vision and this allows biopsies to be taken from lymph nodes.

Richard Wolf is supplying the world’s first dismantlable solution in the market with the new spreadable Video Mediastinoscope. This is an aspect which guarantees optimum reprocessing of the instrument. Complemented by the elegant haptic design and the integrated endoscope, this mediastinoscope offers users and hygiene personnel optimum prerequisites.

Furthermore, this Operating Set is mainly comprised of bipolar instruments. This is another feature of Richard Wolf instruments – the neutral electrode is no longer necessary. The bipolar suction tubes in particular represent a unique selling point. These tubes combined with the spreadable, optical mediastinoscope offer unrivalled opportunities.

Orientation is provided for the closed and spread spatula in the version with multiple adjustment. Additional surgical interventions are provided with the additional options offered by the enlarged working space with the spreadable spatula.