“The Human being has a hard heart and a soulful viscera”
Georges Bernanos

A new application of TIVITA® is visceral surgery, in which anastomotic leakage often causes complications during or after surgery. An anastomosis is a new connection of two anatomical structures. These exist, for example, in blood vessels but also in compounds in the gastrointestinal tract. For example, if resection of the stomach is necessary after a tumor attack, the intestine and esophagus can be anastomized to ensure the function of the internal organs. Since these are complex, well-supplied structures, a smooth OP is indispensable. Here, the TIVITA® helps doctors to monitor the blood flow, the oxygen supply and the water balance of the examined tissue during the operation and to quickly optimize decisions with this new, non-invasively determined information. By ensuring a complication-free anastomosis, the safety of the patient can be significantly improved. The first investigations take place at the University Medical Center Leipzig in cooperation with the ICCAS in Leipzig. In addition, experiments will be carried out at the IRCAD in Strasbourg. First results clearly show that the TIVITA® technology helps surgeons to adjust the course of operations, thus benefiting the patient’s well-being. The following image shows an anastomosis from the visceral surgery.

Viszeralchirurgie Uniklinik Leipzig, Prof. I. Gockel

Viszeral surgery University Leipzig, Prof. I. Gockel

It becomes clear that the parameter images show clear structures that are not easy to perceive with the naked eye. Especially the two anastomized ends have very large differences in oxygen saturation and water content. Which conclusions the surgeon can draw from the data and which clinical effects are related is part of the investigations in Leipzig and Strasbourg.

A second example is a picture taken during a thyroidectomy. The spectra show different tissue classes that have been labeled by the markers. Part of the investigations is the implementation of an automated tissue classification.

IRCAD Strasbourg, Dr. M. Barberio

IRCAD Strasbourg, Dr. M. Barberio