Whipple Procedure – A Complete Guide to Pancreaticoduodenectomy

First Look at the Whipple Operation

The Whipple procedure is a complex surgery performed to remove part of the pancreas, small intestine, and bile duct. It is mainly done to treat pancreatic cancer and other serious conditions around the pancreas. The surgery helps restore digestive function while controlling disease progression.

Surgical Approach to Whipple Procedure

During this surgery, the head of the pancreas, part of the small intestine (duodenum), gallbladder, and bile duct are removed. Surgeons use both open and minimally invasive approaches, depending on the patient’s condition. Specialized endoscopic and surgical tools are required for accurate dissection and reconstruction. The digestive system is reconnected to allow food and bile to pass normally. This procedure helps improve survival in pancreatic cancer patients. It is considered one of the most technically demanding operations in gastroenterology.

Conditions Requiring Whipple Operation

• To treat pancreatic cancer located in the head of the pancreas.
• For bile duct cancer or ampullary cancer.
• In cases of severe chronic pancreatitis not responding to other treatments.
• To remove tumors in the small intestine near the pancreas.

Gastroenterology Devices Used in Whipple Procedure 

• Endoscopic Ultrasound (EUS) System
• ERCP Catheter
• Biliary Stent
• Pancreatic Stent
• Sphincterotome
• Stone Extraction Basket
• Biopsy Forceps
• Guide Wire
• Biliary Dilator
• Needle Knife

Countries with High Surgical Volumes

• United States
• Germany
• Japan
• United Kingdom
• South Korea

Advances and Innovations in Whipple Surgery

Recent years have brought important progress in Whipple surgery with minimally invasive and robotic-assisted methods. These techniques reduce recovery time, lessen surgical trauma, and improve patient outcomes. Better imaging now supports precise planning and clearer tumor margin identification. Improved post-operative care has also lowered complication risks and shortened hospital stays, making the procedure safer and more effective.

Whipple Procedure Benefits

• Effective treatment for pancreatic and periampullary cancers.
• Helps improve life expectancy in eligible patients.
• Restores bile and digestive flow after tumor removal.
• Provides symptom relief such as jaundice and pain.
• Improves chances of long-term disease control.

Advin Health Care is a trusted global manufacturer of advanced gastroenterology and endoscopy products that support Whipple procedure and other pancreatic surgeries.

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Septal Myectomy Introduction

Septal myectomy is a heart surgery used to treat hypertrophic cardiomyopathy. In this condition, the heart muscle becomes abnormally thick, making it hard for blood to leave the heart. The surgery removes a small part of the thickened septum to improve blood flow.

Precision Relief Through Muscle Removal

During septal myectomy, a surgeon removes a portion of the thickened heart muscle from the interventricular septum. The surgery is done through an open-heart procedure, often requiring cardiopulmonary bypass. Surgeons use specialized tools like a scalpel, surgical retractors, and suction devices for precise tissue removal. The goal is to widen the path for blood flow from the left ventricle to the aorta. This procedure is typically performed under general anesthesia. It significantly reduces symptoms like chest pain, shortness of breath, and fainting spells.

Why it’s done?

• To treat hypertrophic obstructive cardiomyopathy (HOCM) when medication is not effective.
• To reduce severe left ventricular outflow tract (LVOT) obstruction.
• To relieve symptoms like chest pain, fatigue, and difficulty breathing.
• To prevent life-threatening arrhythmias or sudden cardiac death in high-risk patients.

Products Related to Septal Myectomy

• Cardiopulmonary Bypass Machine
• Surgical Retractors
• Heart Stabilizer
• Myocardial Protection Solution
• Cardioplegia Delivery System
• Surgical Suction Device
• Sternal Saw
• Chest Drainage System
• Sterile Surgical Drapes
• Electrocautery Unit

Top 5 Countries of Septal Myectomy

• United States
• Germany
• Japan
• Canada
• United Kingdom

Septal Myectomy Benefits

• Improves blood flow from the heart to the rest of the body.
• Reduces or eliminates symptoms such as chest pain and shortness of breath.
• Lowers the risk of sudden cardiac death in patients with severe hypertrophic cardiomyopathy.
• Enhances exercise capacity and overall quality of life.
• Provides long-term relief when medications fail to control symptoms.

Advin Health Care is a leading manufacturer of Septal Myectomy related products, offering high-quality surgical tools and cardiovascular solutions.

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Tru Cut Biopsy Needle

A Biopsy Needle is a specialized medical instrument designed to extract tissue samples from specific organs or lesions for histopathological examination. In urology, biopsy needles are commonly used for prostate biopsy, but they are also applied in kidney, liver, lung, and other organ biopsies.

Product History

The concept of biopsy needles dates back to the late 19th century, evolving from open surgical biopsy methods to minimally invasive percutaneous techniques. Modern biopsy needles are designed with spring-loaded mechanisms, echogenic tips, and coaxial systems for precision sampling under ultrasound or CT guidance.

High-Quality Instrument for Prostate Biopsy

The Biopsy Needle enables precise sampling of organ tissue for diagnosis of cancers, infections, or other pathological conditions.

Surgeries / Procedures Related to Product

• Prostate Biopsy (TRUS-guided / Fusion-guided)
• Renal Biopsy (Percutaneous Kidney Biopsy)
• Liver Biopsy
• Lung Biopsy
• Soft Tissue Mass Biopsy
• Oncology Diagnostic Procedures

Instructions for Use

1. Select the appropriate needle type and gauge (depending on organ/site).
2. Under imaging guidance (Ultrasound/CT/MRI), advance the needle to the target tissue.
3. Activate the spring-loaded mechanism (for core needles) or apply suction (for aspiration needles).
4. Retrieve tissue sample and place it in formalin for histopathological analysis.
5. Apply local pressure to avoid bleeding.

Top 10 Countries of Surgeries

• United States
• India
• Germany
• United Kingdom
• Japan
• China
• Brazil
• Turkey
• Egypt
• South Africa

Product Also Known As

• Core Biopsy Needle
• Tru-Cut Biopsy Needle
• Aspiration Biopsy Needle
• Prostate Biopsy Needle
• Kidney Biopsy Needle

Advin Biopsy Needle Description

• Precision Sampling for Accurate Diagnosis
• Advin Health Care offers a range of Biopsy Needles including Tru-Cut, Aspiration, and Spring-Loaded Core Needles. Manufactured with precision and safety features, these needles ensure minimal trauma, accurate sample retrieval, and patient comfort.
• The Tru Cut Biopsy Needle is designed for safe and efficient collection of tissue samples for diagnostic evaluation. It is commonly used in procedures such as fine-needle aspiration and core needle biopsy, allowing sampling from muscles, bones, and vital organs like the liver and lungs.

Advanced Features

• 20 mm Specimen Notch – Enables reliable tissue capture
• Multiple Sampling – Stylet removal feature allows repeated sampling with ease
• Thin-Wall Design – Provides larger core samples with minimal trauma
• High-Quality Material – Made from durable stainless steel
• Safe & Sterile – Individually packaged, ready for single use

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Introduction to Path Finder – Precision in Urological Access

The Path Finder is a specialized urological guide instrument designed to facilitate the smooth placement of catheters, guide wires, and other urology devices. It is mainly used in difficult urethral catheterization cases, ensuring safe navigation through the urinary tract with minimal trauma.

Development & Evolution – Designed for Smooth Navigation in Complex Ureteral Pathways

The Path Finder was developed as an innovation to overcome challenges in standard catheter insertion. Traditional methods often fail in patients with urethral strictures, false passages, or post-surgical changes. The Path Finder enables safe catheterization, reducing the risk of urethral injury and complications.

Brief Overview – Specialized Guide Wire/Instrument Assisting in Difficult Ureteral Cannulation

The Path Finder assists in navigating strict urethral passages and guides catheters or guide wires safely into the bladder, even in difficult catheterization cases.

Clinical Applications – Ureteroscopy (URS), PCNL, Stent Placement, and Access Sheath Insertion

• Urethral Stricture Management
• Difficult Urethral Catheterization
• Post-Urethroplasty Catheter Placement
• Urological Endoscopic Procedures
• TURP / Urethral Dilatation Support

How It Works – Facilitates Easy Access in Tortuous Ureter or Stricture Cases

1. Select the appropriate size Path Finder.
2. Insert carefully into the urethral passage under lubrication.
3. Advance until the bladder is reached.
4. Pass the guidewire or catheter through the central lumen.
5. Remove the Path Finder while leaving the catheter/guidewire in place.

Material & Build – Flexible Nitinol/Steel Core with Hydrophilic or PTFE Coating

The Path Finder has increasing global demand due to the rising incidence of urethral strictures, aging population, and postoperative catheterization challenges. It is frequently used in urology hospitals, surgical centers, and teaching institutes worldwide.

Also Known As – Difficult Access Guide Wire, Urology Pathway Wire

Urology Path Finder, Catheterization Guide, Urethral Path Finder, Difficult Catheterization Device, Catheter Guide Instrument

Advin Path Finder – Product Specifications (Length, Diameter, Tip Style, Coating Options)

• Efficient & Controlled Irrigation Device
• Advin Health Care offers the Path Finder with precision-engineered design for smooth insertion, minimal trauma, and safe catheterization in complex cases. It is manufactured using high-quality medical-grade materials, ensuring durability, reliability, and patient safety.
• The Path Finder Bulb Irrigator, also known as a Track Finder, is a simple yet highly effective irrigation device designed for controlled fluid delivery during procedures. It provides the physician with the ability to regulate irrigation flow, ensuring clear visualization and ease of scope maneuverability.

Advanced Features

• Better Visualization – Maintains a clear operative field
• Dual Flow Options – Continuous or pulsatile irrigation with minimal tubing
• Accurate Delivery – Ensures precise and reliable fluid control
• Bolus Irrigation – Enables quick flushing when required
• User-Friendly Design – Allows easy scope movement with the bulb attached

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Introduction to Plastibell Circumcision Device – Safe & Simple Circumcision Method

The Plastibell Circumcision Device is a sterile, single-use medical device widely used for neonatal and pediatric circumcision. It is designed to ensure a safe, bloodless, and effective circumcision procedure by using a plastic ring technique that eliminates the need for sutures.

Development & Evolution – Widely Adopted Disposable Device for Pediatric Circumcision

The Plastibell method was first introduced in the 1950s as a modern alternative to traditional circumcision techniques. Over time, it became one of the most preferred methods worldwide due to its simplicity, minimal bleeding, and faster healing, especially in infants and children.

Brief Overview – Plastic Ring Technique Ensuring Minimal Bleeding & Quick Healing

Advin Health Care’s Plastibell Circumcision Device provides a safe, simple, and reliable circumcision method for neonates and children, ensuring minimal bleeding and reduced risk of infection.

Clinical Applications – Neonatal & Pediatric Circumcision Procedures

• Neonatal Circumcision
• Pediatric Circumcision
• Male Circumcision Procedures

How It Works – Device Placed Under Foreskin, Ligature Secured, Ring Naturally Falls Off

1. Select the appropriate size Plastibell according to the patient’s age.
2. Retract the foreskin and position the Plastibell ring over the glans penis.
3. Tie a ligature tightly around the foreskin and Plastibell groove.
4. Excise the excess foreskin distal to the ligature.
5. The plastic ring remains in place and typically falls off naturally within 5–8 days.

Advantages – No Sutures Required, Reduced Bleeding, Low Complication Rate, Easy to Use

• Bloodless circumcision procedure
• No need for sutures
• Reduced operative time
• Minimal postoperative care required
• Faster healing compared to conventional methods
• Reduced infection risk due to sterile, disposable design
• Widely accepted and safe for infants and children

Also Known As – Plastic Ring Circumcision Device

Plastibell Ring, Circumcision Bell Device, Pediatric Circumcision Device, Neonatal Plastibell, Disposable Circumcision Ring, Plastibell Kit, Plastic Circumcision Ring, Pediatric Circumcision Ring

Advin Plastibell Circumcision Device – Product Specifications (Sizes, Sterile Packaging, Disposable Design)

• Safe, Simple & Effective Infant Circumcision
• Advin Health Care manufactures the Plastibell Circumcision Device in multiple sizes suitable for neonates and children. Made of medical-grade, non-toxic plastic, it ensures patient safety, minimal trauma, and effective circumcision outcomes with quick recovery and reduced complications.
• The Plastibell Circumcision Device is a single-use, disposable plastic ring designed for safe and efficient circumcision. While commonly used for infants, it can also be utilized for boys up to 12 years of age. The device is placed under the foreskin and secured with a circumferential ligature, ensuring effective hemostasis by preventing bleeding during excision of the distal foreskin.

Advanced Features

• Single-Use Design – Eliminates the risk of cross-contamination and infection
• Enhanced Safety – Reduces the risk of glans injury compared to traditional clamps
• No Bandage Required – Allows easy monitoring for bleeding or infection post-procedure
• Sterile & Individually Packed – Ensures safety and convenience for clinical use
• Reliable Construction – Avoids mismatched parts that may compromise patient safety
• Minimally Invasive – Provides a clean and controlled circumcision technique

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Introduction to Biliary Stenting Surgery

Biliary stenting is a minimally invasive procedure used to relieve obstructions in the bile duct. It is most often performed for patients with gallstones, tumors, or strictures causing jaundice and other complications. The placement of a stent helps restore normal bile flow and reduces the risk of infection.

The Procedure: How Biliary Stenting is Performed

During biliary stenting, an endoscope is guided into the bile duct to identify the blockage. Once located, a plastic or metal stent is carefully placed to keep the duct open and allow bile to drain freely. Endoscopic Retrograde Cholangiopancreatography (ERCP) is commonly used to perform this procedure with precision. Advanced imaging and specialized endoscopy tools ensure correct placement and effective long-term outcomes. Patients often experience immediate relief from symptoms, making biliary stenting a vital procedure in gastroenterology.

When is Biliary Stenting Needed?

• To treat obstructive jaundice caused by stones or tumors.
• For patients with bile duct strictures resulting from scarring or inflammation.
• As part of palliative care for inoperable biliary or pancreatic cancers.
• To prevent complications like cholangitis and liver damage.

Products Used to Biliary Stenting Surgery

• ERCP Catheter
• Biliary Stent (Plastic / Metal)
• Biliary Stent Introducer Set
• Guidewire
• Sphincterotome
• Stone Retrieval Basket
• Balloon Dilatation Catheter
• Biliary Drainage Catheter
• Fluoroscopy Imaging System
• Endoscopic Forceps

Types of Biliary Stents

Biliary stents are mainly of two types: plastic stents and self-expanding metal stents (SEMS). Plastic stents are cost-effective, easy to replace, and best for short-term use. SEMS provide a wider diameter, longer patency, and are preferred for malignant or long-term cases. The choice depends on the patient’s condition and treatment goals.

Advantages of Biliary Stenting Surgery

• Provides rapid relief from jaundice and bile duct obstruction.
• Minimally invasive with shorter recovery compared to open surgery.
• Improves quality of life, especially in cancer patients requiring palliation.
• Reduces risk of severe infections like cholangitis.
• Can be performed repeatedly if stent replacement is needed.

Advin Health Care provides a wide range of advanced endoscopy and gastroenterology products that support safe and reliable biliary stenting procedures worldwide.

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+91-75037 27250 | gastrology@advinhealthcare.com | www.advinhealthcare.com

Transcatheter Aortic Valve Replacement (TAVR) Introduction

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure used to replace a narrowed aortic valve that fails to open properly. It is an alternative to open-heart surgery, especially for patients at high risk for surgical complications. A new valve is inserted through a catheter, usually through the leg, and placed inside the damaged valve.

Precise Valve Placement with Minimally Invasive Access

TAVR is done using a catheter inserted through a blood vessel, most commonly via the femoral artery in the groin. The catheter carries a specially designed replacement valve, which is guided to the heart using advanced imaging techniques. Once in position, the new valve is expanded, pushing aside the old valve leaflets and taking over their function. Tools like guidewires, sheaths, balloon catheters, and imaging systems are essential during this procedure. The entire process is performed without opening the chest, reducing recovery time significantly. TAVR provides a life-saving option for patients with severe aortic stenosis who may not tolerate traditional surgery.

Why it’s done?

• Severe aortic stenosis causing symptoms like chest pain, fainting, or shortness of breath
• Patients considered high-risk or too frail for open-heart surgery
• Aortic valve failure in previously implanted bioprosthetic valves (valve-in-valve procedures)
• Reduced heart function due to restricted blood flow from the narrowed aortic valve

Products Related to Transcatheter Aortic Valve Replacement

• Introducer Sheath
• Balloon Expandable Transcatheter Heart Valve
• Self-expanding Transcatheter Heart Valve
• TAVR Delivery System
• Guidewire (for valve navigation)
• Pacing Catheter
• Imaging Catheter
• Contrast Media
• Fluoroscopy Imaging System
• Hemostasis Valve

Top 5 Countries of Transcatheter Aortic Valve Replacement

• United States
• Germany
• France
• Japan
• Canada

Transcatheter Aortic Valve Replacement (TAVR) Benefits

• Reduces hospital stay and speeds up patient recovery compared to open surgery
• Minimizes surgical risks for elderly or high-risk patients
• Improves blood flow and reduces heart workload almost immediately
• Enhances quality of life and extends survival for patients with severe aortic stenosis
• Lowers the risk of complications like infections and bleeding
• Allows treatment in patients previously considered inoperable
• Can be done under local anesthesia in selected cases

Advin Health Care is a leading manufacturer of Transcatheter Aortic Valve Replacement related products, offering innovative solutions to support this life-saving cardiology procedure.

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Endoscopic Submucosal Dissection (ESD) Introduction

Endoscopic Submucosal Dissection (ESD) is an advanced endoscopic procedure used to remove early-stage gastrointestinal cancers. It allows for the en bloc resection of large or complex lesions from the stomach, esophagus, or colon. This minimally invasive technique provides accurate pathological assessment and reduces the need for open surgery.

Stepwise Approach in ESD Surgery

The ESD procedure begins with the insertion of a high-definition endoscope to carefully visualize the lesion. A special injection is given beneath the mucosa to lift the abnormal tissue away from the muscle layer. Using electrosurgical knives, the mucosal layer is incised, and submucosal dissection is performed to completely separate the lesion. The en bloc resection ensures that the entire tumor, along with a margin of healthy tissue, is removed in one piece. Endoscopic hemostasis devices are applied to manage bleeding during the procedure. This advanced method requires high technical expertise and provides curative outcomes for patients with early-stage gastrointestinal cancers.

Why It’s Done?

• To remove early-stage gastric, esophageal, or colorectal cancers
• To treat large or flat precancerous lesions not suitable for standard polypectomy
• To preserve organ function while avoiding open surgery
• To obtain accurate histological specimens for cancer staging

Products Related to Endoscopic Submucosal Dissection (ESD)

• High-Definition Gastroscope / Colonoscope
• ESD Knife (IT Knife, Hook Knife, Dual Knife)
• Endoscopic Injection Needle
• Electrosurgical Generator
• Transparent Distal Attachment Cap
• Hemostatic Forceps
• Endoscopic Clips (Hemoclips)
• CO₂ Insufflator
• Endoscopic Irrigation Pump
• Endoscopic Camera System

Top 5 Countries of ESD Surgery

• Japan
• South Korea
• China
• Germany
• United States

Benefits of Endoscopic Submucosal Dissection (ESD)

• Enables en bloc resection of large and complex gastrointestinal lesions
• Provides curative treatment for early-stage GI cancers without open surgery
• Reduces recurrence compared to piecemeal resection methods
• Preserves organ integrity and natural digestive function
• Allows precise pathological evaluation for accurate staging

Advin Health Care’s Contribution

Advin Health Care offers a comprehensive range of advanced endoscopy instruments and accessories designed to support gastroenterologists in performing Endoscopic Submucosal Dissection (ESD) safely and effectively.

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Implantable Cardioverter Defibrillator (ICD) Introduction

An Implantable Cardioverter Defibrillator (ICD) is a small device placed in the chest to help control dangerous heart rhythms. It constantly monitors the heart and delivers electrical shocks if a life-threatening rhythm is detected. This device is used to prevent sudden cardiac arrest in patients at high risk.

Precision Protection: Inside the ICD Implantation Procedure

The ICD implantation procedure begins with the patient under local anesthesia, and sometimes sedation. A small incision is made near the collarbone to create a pocket for the device. Thin, flexible wires called leads are inserted through a vein and guided into the heart using imaging tools like fluoroscopy. These leads connect the heart to the ICD device, which is placed in the chest pocket and programmed to detect and correct abnormal rhythms. The device uses low-energy pulses for pacing and high-energy shocks for dangerous arrhythmias like ventricular fibrillation. The entire procedure usually takes 1 to 2 hours and patients often go home the next day.

Why It’s Done?

• To prevent sudden cardiac arrest in patients with a history of life-threatening arrhythmias
• For people who have survived a previous cardiac arrest episode
• For those with weakened heart muscles or heart failure with reduced ejection fraction
• In patients with genetic heart conditions that increase the risk of arrhythmias, such as Long QT Syndrome or hypertrophic cardiomyopathy

Products Related to Implantable Cardioverter Defibrillator

1. Implantable Cardioverter Defibrillator (ICD) device
2. ICD Leads (single or dual chamber)
3. Lead introducer kit
4. Fluoroscopy machine
5. Sterile surgical drapes
6. Electrocautery unit
7. Device programmer
8. Antibacterial envelope for ICD
9. Suture kit
10. External defibrillator (for backup during procedure)

Top 5 Countries of Implantable Cardioverter Defibrillator

• United States
• Germany
• Japan
• United Kingdom
• France

Implantable Cardioverter Defibrillator Benefits

• Significantly lowers the risk of sudden cardiac death in high-risk patients
• Provides continuous, real-time heart rhythm monitoring
• Automatically detects and treats life-threatening arrhythmias
• Can improve survival rates in patients with heart failure
• Enables patients to lead more active and confident lives with reduced fear of cardiac arrest

Advin Health Care is a leading manufacturer of Implantable Cardioverter Defibrillator related products, offering high-quality and reliable solutions for cardiac care professionals worldwide.

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Hemicolectomy Introduction

Hemicolectomy is a surgical operation in which either the right or left side of the colon is removed. This procedure is typically done to treat colon cancer, large polyps, or certain bowel diseases. The surgery helps restore intestinal health by removing the affected portion of the colon.

Surgical Technique of Hemicolectomy

Hemicolectomy begins under general anesthesia, ensuring the patient remains comfortable and safe during the procedure. The surgeon either makes a large incision or uses a laparoscopic approach with small keyhole cuts to access the colon. The diseased portion of the colon, along with its blood vessels and nearby lymph nodes, is carefully removed. The remaining ends of the intestine are reconnected using stapling or suturing techniques to maintain bowel continuity. In some complex cases, a temporary stoma may be created to allow healing. The use of advanced endoscopic and laparoscopic tools has made the procedure safer and recovery times shorter.

Medical Indications for Hemicolectom

• To remove localized colon cancer or precancerous growths
• To manage inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis
• To treat complications like bowel obstruction or perforation
• To excise large polyps not suitable for endoscopic removal

Endoscopic Products for Hemicolectomy

• Colonoscope
• Endoscopic Stapler
• Laparoscopic Trocars
• Colon Grasping Forceps
• Suction and Irrigation System
• Endoscopic Linear Cutter
• Electrosurgical Generator
• Laparoscopic Scissors
• Surgical Clip Applier
• Endoscopic Camera System

Global Leaders in Hemicolectomy

• United States
• Germany
• Japan
• United Kingdom
• India

Types of Hemicolectomy

Hemicolectomy is divided into right hemicolectomy and left hemicolectomy, depending on which side of the colon is affected. A right hemicolectomy removes the ascending colon and part of the transverse colon. A left hemicolectomy removes the descending colon and part of the transverse colon. Both techniques focus on preserving maximum healthy bowel while ensuring complete removal of diseased tissue.

Hemicolectomy Surgery Benefits

• Effective removal of diseased or cancerous portions of the colon
• Helps in preventing the spread of colorectal cancer
• Restores bowel continuity with minimal impact on digestion
• Faster recovery with laparoscopic and endoscopic methods
• Improves long-term health outcomes in patients with bowel disease

Advin Health Care’s Contribution

Advin Health Care provides a complete range of advanced gastroenterology and laparoscopic surgery instruments that assist surgeons in performing Hemicolectomy safely and efficiently worldwide.

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