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M. PATRICK LOWE, M.D.: Sure. 00:41:17 DILJEET K. SINGH, M.D.: You know, we were just talking about the differences between the robotic instruments and what are standard laparoscopy instruments are, so that if we go back to surgery, that instrument that she's using right now is sort of a standard laparoscopic instrument. You can see how it's limited in its motion and essentially can only go straight in and out and then have the clamps move, which is dramatically different from the other instruments you've been watching Dr. Lowe use. Sorry about that, Patrick. 00:41:42 M. PATRICK LOWE, M.D.: No, that's okay. 00:41:45 TODD D. TILLMANNS, M.D.: No, I think that's a really good point too and that particular device helps to seal the blood vessels and seems to do a nice job and it seems like Dr. Lowe favors that and you can see there's no bleeding, right there you just ligated right through a nice blood vessel there. 00:42:02 M. PATRICK LOWE, M.D.: You know, and Todd we actually use that device for a number of our open procedures, pelvic exonerations, dividing the mesentery of the bowel during bowel resections, and so it's a very interesting device in that what it does is it actually fuses the walls of the blood vessels together. So what it does is it remodels the collagen and the walls of the blood vessel and actually fuses them together and so we've just been really pleased with the experience that we've had using it, not only for open cases, laparoscopic cases, and robotic cases. If you haven't used it or you haven't used a vessel sealing type device, I would encourage surgeons to give them a try and as an example, I don't think I've put a suture on the ovarian vessels in about three years. Whether it was an open case, laparoscopic case, or robotic case, and I've never had re-bleeding at one of those ovarian vessels when I've used a vessel sealing device in the surgery. It can shorten the operative time, it can decrease the blood loss, and it can also almost even act as like an assistant in your case because it will actually clamp the vessels, seal the vessels, and divide the vessels. So it's really nice if the assistant that you have is not helping you, it can sort of replace your surgical assistant at times. Now Margarita, can you Antivert the uterus a little bit for me please? 00:43:36 TODD D. TILLMANNS, M.D.: We just wanted to reiterate for those of you who are interested in watching this video at a later time, it can be seen on NMH.org and go back through and take a look at this whole video and the demonstration as we went through it today. I think that's an important point. We just got another email in and this is wonderful. It says -- we were just speaking about Dr. Magrina. Eric, who's a surgical tech that works with Dr. Magrina at Mayo Hospital in Phoenix said that he routinely uses the fourth arm, or asked if we routinely use the fourth arm during the cases and “What do you use in the vagina to provide visualization during the surgery to avoid injuring the bladder?” 00:44:24 M. PATRICK LOWE, M.D.: We use the uterine manipulator called the VCare Uterine Manipulator and we've tried sponge sticks, we've tried EEA sizers, we've tried the KOH Colpotomizer, and a number of different instruments and what I found advantageous about this particular instrument -- Annie, you want to come in here and seal the vessels right there where I have them skeleton zed? -- is that the handle of the instrument -- back up a little bit. So, what you

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