Topic of the month – September 2013

Minimally Invasive Surgery – don't destroy the excellent results

Today many operations are performed endoscopically so that only minimal incisions in the skin need to be performed. Therefore in most cases very little can be seen of the operation. However, to be on the safe side the follow-up care should be started directly after the wound closure.

Modern technology with many application areas

The term „minimal-invasive surgery“ is used to designate operations that only require the smallest incisions. In contrast to this stands the „classic“, so-called open surgery, with large incisions in chest and abdomen.

Minimal-invasive interventions were originally used to remove the gall bladder.

Over the last years however the techniques and methods have been continuously refined, so that now numerous operations can be performed minimally-invasively, above
all in the area of the chest (thorascopy), the abdomen (laparoscopy) and the joints (arthroscopy).

With the help of working trocars the surgeon inserts his special tools such as e.g. scissors, small hooks, forceps, ultrasonic shear, ultrasonic scalpel or high frequency current for haemostasis through the small incisions. A camera transmits images from the site of the intervention to a monitor, which provides the surgeon with a clear view of the operating field inside the body. With operations in the abdomen the cavity is first filled with carbon dioxide and inflated. This ensures there is sufficient space available for the operation.

Small incision – great advantages

Endoscopic interventions require great skill from the surgeon; however they offer the patient numerous advantages:

  • There is less loss of blood during the operation
  • Less nerves and vessels are severed
  • There is less pain after the operation
  • The body recuperates faster, especially the gastro-intestinal activity
  • The patients are mobile again faster and can leave the hospital earlier
  • Less scars are formed

Optimum follow-up care reduces scar formation

One of the most important advantages of minimal-invasive surgery is certainly that not only the medical result is convincing but also the visual result. As only small incisions are required, usually large scars are also not formed. Nevertheless, the correct follow-up care is important because small scars can also develop unfavourably, e.g. keloids may form. For this reason experts recommend to regularly care for surgical scars with Contractubex as soon as the incision has closed and the sutures have been removed. Contractubex contains a unique complex of active ingredients and actively supports the body's own healing process in the skin. Through this you ensure that also the smallest scars heal as best possible and can hardly be seen or felt.


Contractubex® Composition: 100 g gel contains: 10.0 g Extr. cepae, 5000 IU heparin sodium, 1.0 g allantoin. Indications: Hypertrophic and keloidal scars, movement-restricting and cosmetically disfiguring scars after operations, amputations, burns, and accidents; contractures such as Dupuytren’s contracture and traumatic tendon contractures; cicatricial strictures. Contraindications: Hypersensitivity to parabens. Side effects: Very rare skin reactions. Mode of action: Contractubex® exerts an antiproliferative, antiinflammatory, softening, and smoothing action on proliferating scar tissue. Dosage: Unless otherwise prescribed, Contractubex® should be gently massaged into the skin several times a day until all the gel has been absorbed. In the case of hardened older scars, it may be necessary to cover the treated area with a dressing overnight. Interactions: None known. Package sizes: 20 g, 50 g. Merz Pharmaceuticals GmbH, Eckenheimer Landstraße 100, D-60318 Frankfurt/Main, Germany

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