General and Gynecologic Surgeon Stefano Bottari, M.D. was dissatisfied with the design, performance and safety of conventional tissue sealing and cutting technology so he switched to Microline Surgical's TLS3 Thermal Ligating Shears. Having performed 125 cases with the TLS3, Dr. Bottari has found the device is not only safe, effective and easy to use, but is also a more cost-effective alternative to the technologies he had previously been using.

General and Gynecologic Surgeon Stefano Bottari, M.D. of the Salvator Mundi International Hospital in Rome, Italy had used both an electrothermal bipolar vessel sealing system and ultrasonic shears for tissue sealing and cutting but found both technologies had their limitations.

"The ultrasonic shears were difficult for my staff to set up and challenging for me to use because they are not ergonomically designed," said Dr. Bottari. "In my opinion, the 5mm jaw of the electrothermal bipolar vessel sealing system is unsafe because the jaws do not grasp the tissue in an optimal way when in the closed position."

In 2009, Dr. Bottari learned about Microline Surgical’s TLS3 Thermal Ligating Shears, which employs the company’s patented MiFusion Thermal Fusion Technology (also known as Tissue Welding). While conventional devices pass energy through the tissue to create heat, Microline’s Thermal Fusion achieves denaturization solely through the application of direct heat and pressure, which minimizes tissue damage, water vapor and smoke production.

"I decided to switch to the TLS3 because the device’s design enabled me to improve my performance, allowing me to seal and cut with greater accuracy and efficiency," said Dr. Bottari. "The TLS3 is also more cost-effective than the devices I had previously been using. Switching to the TLS3 has reduced the hospital’s costs, which is an important advantage."

To date (April 2014), Dr. Bottari has used the TLS3 in 125 cases, including procedures performed on the ovaries, viscerolysis, laparoscopic appendicectomy and other minimally invasive general surgery and gynecology procedures. He comments on why the TLS3 is his device of choice for tissue sealing and cutting, stating:

"The TLS3 delivers excellent haemostasis and dissection, low thermal injury and no smoke during laparoscopic procedures," said Dr. Bottari. "Furthermore, its ergonomic design makes it easy to set up, intuitive to use and it requires no training. For all of these reasons the TLS3 is absolutely my preference for tissue sealing and cutting and I recommend its use to other surgeons."