Gynecologic Surgery

Gynecology, the next generation of care; the next generation of value. Through collaboration with the gynecologic community, our goal is to use evidence-based solutions to reduce unnecessary variation to improve care quality and patient experience, and to lessen the cost of care.

GYN Hero
Practice surgery anytime, anywhere

Practice Surgery Anytime, Anywhere 

Touch Surgery is revolutionizing surgical education through a virtual training mobile platform. The app delivers cognitive training that has the potential to improve outcomes. The following Gynecology Modules are COMING SOON: Gynecological Anatomy, Open Total Hysterectomy, Laparoscopic Total Hysterectomy & Total Vaginal Hysterectomy.

Hysterectomy Shared Decision Making: A Dialog Tool for the Patient & Doctor

Hysterectomy Shared Decision Making: A Dialog Tool for the Patient & Doctor

The Hysterectomy Shared Decision Making tool is a conversation guide for gynecologists and patients that evaluates the reasons to perform a hysterectomy, various surgical approaches, and what to expect before, during, and after surgery.

Ethicon joins the SGO Industry Corporate Council

Ethicon Joins the SGO Industry Corporate Council

The Society of Gynecologic Oncology and its collaborative membership have been on a single pathway--help eradicate women’s cancer. Ethicon supports this very same mission by combining innovation with education and research for the needs of the gynecologic oncologist.

Featured Gynecologic Products

SURGICEL® Powder Absorbable Hemostat

SURGICEL® Powder Absorbable Hemostat

Contains an aggregate of ORC fiber fragments that help control capillary, venous & small arterial hemorrhages.1,2 Proven bactericidal activity in vitro against all 5 hospital-acquired pathogens (MRSA, MRSE, VRE, PRSP, E.Coli).3-5 Its unique structure of powder penetrates the surface of the blood to get to the source of bleeding.6,7

ENSEAL® X1 Large Jaw

ENSEAL® X1 Large Jaw Tissue Sealer

ENSEAL X1 Large Jaw with its adaptive tissue technology was significantly more hemostatic at the distal tip8 & 41% less thermal spread compared to LigaSure Impact™.9 It’s 360° shaft rotation is designed to improve access to targeted tissue.10

HARMONIC® HD 1000i Shears

HARMONIC® HD 1000i Shears

Unique shape mimics a mechanical dissector11 which may reduce the need to use a separate dedicated dissecting instrument.12 It provided exceptional sealing strength as evidence by burst pressures of 150% compared to LigaSure™.13 Strong tip grasping is designed to minimize tissue slippage and may aid in tissue manipulation & control.14

STRATAFIX™ Spiral Knotless Tissue Control Device

STRATAFIX™ Spiral Knotless Tissue Control Device

Provide the wound-holding strength of interrupted suturing, with greater security and efficiency than continuous suturing.15-22 STRATAFIX Spiral Knotless Tissue Control Device reduced vaginal cuff dehiscence and bleeding compared to traditional methods of closure.* 23

Resources

Education & Training

Offering a wide range of experiences with top-tier faculty around the country and resources to support you & your organization.

Research & Evidence

Continuously evolving optimized patient outcomes through funding clinical research. 

Access & Reimbursement

Helping patients gain access to the care they need with resources to inform on the clinical and economic value of Gynecological surgery.

Videos

Additional Videos

ENSEAL X1 Tissue Sealer in Total Vaginal Hysterectomy with Dr. Stephen Frye
ENSEAL X1 Tissue Sealer in Total Vaginal Hysterectomy with Dr. Stephen Frye
04:13
 HARMONIC ACE +7 Shears in Laparoscopic Myomectomy with Dr. James Kondrup
HARMONIC ACE +7 Shears in Laparoscopic Myomectomy with Dr. James Kondrup
04:49
DERMABOND® PRINEO® in Total Abdominal Hysterectomy with Dr. Thad Denehy
DERMABOND® PRINEO® in Total Abdominal Hysterectomy with Dr. Thad Denehy
02:52
STRATAFIX Knotless Tissue Control Device Technique in Gynecologic Surgery with Dr. Dwight Im
STRATAFIX Knotless Tissue Control Device Technique in Gynecologic Surgery with Dr. Dwight Im
02:04
ENSEAL® G2 Tissue Sealer in Total Lap. Hysterectomy with Dr. Biest
ENSEAL® G2 Tissue Sealer in Total Lap. Hysterectomy with Dr. Biest
04:41

Related Procedures

References

* This study was performed with a device of similar material and anchor design to a STRATAFIX Spiral Device.

1. MacDonald MH. PSE Accession No. 16-0006. Study Comparing Performance of SURGICEL® Powder Absorbable Hemostatic Powder to Marketed Competitive Powdered Topical Hemostats in a Swine Acute Liver Abrasion Model. 2016.

2. SURGICEL® Powder Absorbable Hemostat, Instructions for Use. Ethicon, Inc.

3. Spangler D, Rothenburger S, Nguyen K, Jampani H, Weiss S, Bhende S, In Vitro Antimicrobial Activity of Oxidized Regenerated Cellulose Against AntibioticResistant Microorganisms. Surgical Infections. 2003;4(3): 255-262.

4. Dineen P. The effect of oxidized regenerated cellulose on experimental infected splenotomies. J Surg Res 1977;23:114-116.

5. SURGICEL® Absorbable Hemostat. Full Prescribing Information, Ethicon, Inc.

6. Wang A. 2-59164. Surface Energy/Tension Analysis among ORC Aggregate, ORC Fine Fiber and Arista – Project PIXIE.

7. Jiang T. Comparison of hemostatic performance of SURGICEL absorbable hemostatic products. 2007.

8. Preclinical test of distal tip bleeding (ENSEAL® vs. Impact-LF4318) in thick porcine mesentery base (p<0.001).

9. Preclinical testing on porcine carotids (ENSEAL® vs Impact-LF4318) that measured mean max lateral thermal damage via histology (p=0.005).

10. Versus Ligasure Impact with only 180° rotation.

11. Design Validation Study with surgeons (n=33) operating in simulated procedures in an animate porcine laboratory model.

12. In a design validation study with surgeons (n=33) operating in simulated procedures in an animate porcine laboratory model (26/33).

13. Based on a benchtop study with 5-7mm porcine carotid arteries. HARMONIC® HD (1878mmHg) vs. LigaSure Maryland (1171mmHg)and LigaSure Impact (1224mmHg). (p<0.05)

14. Based on average device tip grasping force (distal 5mm of the jaw).

15. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10):1175-1178.

16. Vakil JJ, O’Reilly MP, Sutter EG, Mears SC, Belkoff SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5):710-713.

17. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163-167.

18. Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the closure of hip and knee arthroplasty wounds. Orthopedics. 2011;34(9):e473-e475.

19. 100326296: Time Zero Tissue Holding - Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015.

20. AST-2013-0056 Performance Testing of STRATAFIX Symmetric PDS Size2-0 suture device for Tissue Holding Strength with Multiple Incision Defects to Measure Gapping.

21. Ethicon study AST-2012-0331. Tissue gapping under tension of porcine cadaveric skin incisions closed with Stratafix Spiral in comparison to Monocryl in both interrupted and continuous stitching patterns. Approved on August 24, 2012.

22. Ethicon Performance Evaluation Memo AST-2012-0510. Performance Testing of STRATAFIX Symmetric Size 2-0 suture device for Tissue Holding Strength with an Incision Defect to Measure Gapping. Dated December 3, 2012.

23. Siedhoff MT, Yunker AC, Steege JF. Decreased incidence of vaginal cuff dehiscence after laparoscopic closure with bidirectional barbed suture. J Minim Invasive Gynecol. 2011;18: 218-223. 

SURGICEL® Powder Absorbable Hemostat Essential Product Information

INDICATIONS
SURGICEL® Powder (oxidized regenerated cellulose) is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective.

CONTRAINDICATIONS

Do not inject or place SURGICEL® Powder into an open blood vessel.
SURGICEL® Powder should not be used to control hemorrhage from large arteries.
When SURGICEL® Powder is used to help achieve hemostasis in, around, or in proximity to foramina in bone, areas of bony confine, the spinal cord, or the optic nerve and chiasm, it must always be removed after hemostasis is achieved since it will swell and could exert unwanted pressure.
SURGICEL® Powder should not be used for implantation in bone defects, such as fractures, since there is a possibility of interference with callus formation and a theoretical chance of cyst formation.

WARNINGS

Closing with SURGICEL® Powder in a contaminated wound without drainage may lead to complications and should be avoided.
SURGICEL® Powder should not be impregnated with anti-infective agents or with other materials such as buffering or hemostatic substances.
SURGICEL® Powder is dry and there may be difficulties in precise delivery under certain circumstances. Unintentional device placement may result in powder scattering and device migration that may increase the risk of adhesion formation.
Although SURGICEL® Powder is bactericidal against a wide range of pathogenic microorganisms, it is not intended as a substitute for systemically administered therapeutic or prophylactic antimicrobial agents to control or to prevent postoperative infections.
Do not attempt to trim the applicator tip.
PRECAUTIONS
SURGICEL® Powder should not be used in conjunction with autologous blood salvage circuits, because its fragments may pass through the transfusion filters of bloodscavenging systems.
Use only as much SURGICEL® Powder (oxidized regenerated cellulose) as is necessary and apply only where needed for hemostasis. Remove any excess before surgical closure in order to facilitate absorption and to minimize the possibility of foreign body reaction.
In urological procedures, minimal amounts of SURGICEL® Powder should be used and care must be exercised to prevent plugging of the urethra, ureter, or a catheter by dislodged portions of the product.
Since absorption of SURGICEL® Powder could be prevented in chemically cauterized areas, its use should not be preceded by application of silver nitrate or any other escharotic chemicals.
If SURGICEL® Powder is used temporarily to line the cavity of open wounds, it should be removed by irrigation with sterile water or saline solution after bleeding has stopped.
Precautions should be taken in otorhinolaryngologic surgery to ensure that none of the material is aspirated by the patient (e.g., controlling hemorrhage after tonsillectomy and controlling epistaxis).
This applicator tip is not intended for laparoscopic or other endoscopic use.

ADVERSE EVENTS
Paralysis and nerve damage have been reported when other SURGICEL® products were used around, in, or in proximity to foramina in bone, areas of bony confine, the spinal cord, and/or the optic nerve and chiasm.
Blindness has been reported in connection with surgical repair of a lacerated left frontal lobe when other SURGICEL® products were placed in the anterior cranial fossa (see WARNINGS and PRECAUTIONS).
Foreign body reactions have been reported with other products from the SURGICEL® Family of Absorbable Hemostats.
Burning has been reported when other SURGICEL® products were applied after nasal polyp removal. Headache, burning, stinging, and sneezing in epistaxis and other rhinological procedures, and stinging when SURGICEL® product was applied on surface wounds (varicose ulcerations, dermabrasions, and donor sites) have also been reported.
For more information and technical questions, call 1-800-795-0012.

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.