Surgical Technique: Mini-Open Approach to the Hip

2013 ◽  
pp. 1-8
Author(s):  
Antonia F. Chen ◽  
Patrick O’Toole ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Surgical Technique ◽  
Open Approach ◽  
Mini Open

The Mini-open Transforaminal Lumbar Interbody Fusion

2005 ◽  
Vol 57 (suppl_4) ◽  
pp. ONS-256-ONS-261 ◽  
Author(s):  
Praveen V. Mummaneni ◽  
Gerald E. Rodts
Keyword(s):  
Surgical Technique ◽  
Operating Room ◽  
Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Open Approach ◽  
Lumbar Interbody Fusion ◽  
Surgical Positioning ◽  
Surgical Exposure ◽  
Mini Open

Abstract THE MINI-OPEN APPROACH for transforaminal lumbar interbody fusion is described in detail. Operating room setup and surgical positioning are demonstrated. Our methods of retractor placement and techniques for optimal surgical exposure are discussed. The surgical technique used for decompression and fusion is presented in detail. The surgical pearls and pitfalls of the mini-open TLIF are described and illustrated.

Complication Rate after Radical Cystectomy Depends on the Surgical Technique and Patient’s Clinical Status

2021 ◽  
pp. 1-8
Author(s):  
Przemysław Adamczyk ◽  
Paweł Pobłocki ◽  
Mateusz Kadlubowski ◽  
Adam Ostrowski ◽  
Witold Mikołajczak ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Complication Rate ◽  
Tnm Stage ◽  
Complication Rates ◽  
Open Approach ◽  
Invasive Approach ◽  
Asa Score

<b><i>Purpose:</i></b> This study aimed to explore the complication rates of radical cystectomy in patients with muscle-invasive bladder cancer and identify potential risk factors. <b><i>Methods:</i></b> A total of 553 patients were included: 131 were operated on via an open approach (ORC), 242 patients via a laparoscopic method (LRC), and 180 by a robot-assisted procedure (RARC). Patient age, gender, American Society of Anesthesiologists (ASA) score, urinary diversion type, preoperative albumin level, body mass index (BMI), pathological (TNM) stage, and surgical times were collected. The severity of complications was classified according to the Clavien-Dindo scale (Grades 1–5). <b><i>Results:</i></b> The surgical technique was significantly related to the number of complications (<i>p</i> &#x3c; 0.00005). Grade 1 complications were observed most frequently following LRC (52.5%) and RARC (51.1%), whereas mostly Grade 2 complications were detected after ORC (78.6%). Those with less severe complications had significantly higher albumin levels than those with more severe complications (<i>p</i> &#x3c; 0.05). Patients with an elevated BMI had fewer complications if a minimally invasive approach was used rather than ORC. The patient’s general condition (ASA score) did not impact the number of complications, and urinary diversion type did not affect the severity of the complications. Mean surgical time differed according to the urinary diversion type in patients with a similar TNM stage (<i>p</i> &#x3c; 0.005); however, no difference was found in those with more locally advanced disease. Longer operation time and lower protein concentration were associated with higher probability of complication rate, that is, Clavien-Dindo score 3–5. <b><i>Conclusions:</i></b> The risk of complications after RC is not related to the type of urinary diversion, and can be reduced by using a minimally invasive surgical technique, especially in patients with high BMI.

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

2017 ◽  
Vol 10 (5) ◽  
pp. 465-469 ◽  
Author(s):  
Rishin Kadakia ◽  
Jeff Konopka ◽  
Tristan Rodik ◽  
Samra Ahmed ◽  
Sameh A Labib
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Case Reports ◽  
Wound Complications ◽  
Open Approach ◽  
Arthroscopic Reduction ◽  
Body Fracture ◽  
Anatomic Reduction ◽  
Talar Body Fracture

The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation. Levels of Evidence: Level V: Case report

Mini-Open Approach to the Hip

2014 ◽  
pp. 387-391
Author(s):  
Antonia F. Chen ◽  
Patrick O’Toole ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Open Approach ◽  
Mini Open

Analysis of Outcomes Between Traditional Open versus Mini-Open Approach in Surgical Treatment of Spinal Metastasis

2019 ◽  
Vol 130 ◽  
pp. e467-e474 ◽  
Author(s):  
Yamaan S. Saadeh ◽  
Clay M. Elswick ◽  
Jibran A. Fateh ◽  
Brandon W. Smith ◽  
Jacob R. Joseph ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spinal Metastasis ◽  
Open Approach ◽  
Open Versus ◽  
Mini Open

scholarly journals Imaging appearance on CT post laparoscopic Roux-en-Y gastric bypass using bioabsorbable prosthesis with fibrin glue fixation to prevent a Petersen’s space hernia

2019 ◽  
Vol 5 (3) ◽  
pp. 20180111
Author(s):  
Mark Page ◽  
James Drummond ◽  
Mark Magdy ◽  
John Vedelago ◽  
Vytauras Kuzinkovas
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Surgical Technique ◽  
Fibrin Glue ◽  
Subsequent Treatment ◽  
Open Approach ◽  
Internal Hernias ◽  
Haemostatic Agents ◽  
Petersen’S Hernia ◽  
Post Bariatric Surgery

Imaging post bariatric surgery is becoming more common over the past decade due to increasing incidence of obesity in the population and subsequent treatment. In recent years, the use of topical haemostatic agents and bioabsorbable prostheses has increased leading to higher likelihood of encountering these agents on post-operative imaging. Imaging in the post-operative period is occasionally performed to assess for complications such as obstruction, leak and abscess formation. Familiarity with these agents is crucial in preventing incorrect diagnosis. Laparoscopic Roux-en-Y gastric bypass (RYGB) is favoured over the open approach as it is safer and more effective, with a mortality rate of 0.5% and morbidity around 7–14 %. The main cause of late post-RYGB complications is the development of internal hernias such as a Petersen’s hernia. During the procedure, a space between the alimentary loop of the small bowel and the transverse mesocolon is created and is called the Petersen’s defect. Subsequently, a part of the small bowel can herniate through this orifice. As this operation is becoming more common, the incidence of internal herniation has been increasing. This case report describes a new bariatric surgical technique and the associated post-operative radiological appearances on CT. The surgical technique has been pioneered in Sydney, Australia and involves a laparoscopic RYGB using bioabsorbable prosthesis with fibrin glue fixation to prevent a Petersen’s space hernia.

scholarly journals Safety of Achilles Repair Using the Mini-Open Approach in Supine Position vs Prone Position: A Retrospective Study

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0023
Author(s):  
James Rush Jones ◽  
Haley McKissack ◽  
Aaradhana J. Jha ◽  
Leonardo V. M. Moraes ◽  
Jun Kit He ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Operating Room ◽  
Prone Position ◽  
Supine Position ◽  
Surgical Repair ◽  
Traditional Approach ◽  
Perioperative Period ◽  
Perioperative Outcomes ◽  
Open Approach ◽  
Mini Open

Category: Sports Introduction/Purpose: Surgical repair of the Achilles tendon is a commonly-performed procedure in cases of acute tendon rupture. Open Achilles tendon surgery with traditional extensile approach is most often performed with the patient in prone position, but this can interfere with airway access, put increased pressure on the abdomen, and subject to increase perioperative period and comorbidities. Mini-open approach in supine repair may potentially avoid the risks of the prone position, but the safety and utility of this approach have not been established. The purpose of this study is to compare perioperative outcomes between patients undergoing acute Achilles rupture repair with mini-open approach in the supine position versus traditional approach in the prone position. Methods: Patients who underwent surgical repair of acute Achilles rupture between the years 2011 and 2018 at a single institution were retrospectively identified using CPT code 27650. Patients who underwent concurrent procedures for additional injuries were excluded. Charts of included patients were retrospectively reviewed for demographic information, intraoperative characteristics, and postoperative outcomes. Statistical analysis was conducted and p-values =0.05 were considered significant. Results: A total of 81 patients were included for analysis, 26 supine and 55 prone. Baseline characteristics were statistically similar between the two groups. Average total time in the operating room was significantly greater among patients in the prone position (118.7 minutes) than those in the supine position (100 minutes) (p = 0.0011). Average surgery time, blood loss, and time in PACU were greater among the prone group than the supine group, although these differences were not statistically significant. Average postoperative pain score, infection rate, dehiscence rate, sepsis rate, and DVT rate were also similar between the two groups. Conclusion: The mini open approach in supine position may be advantageous in repair of acute Achilles rupture in that it significantly reduces total time in the operating room while maintaining positive patient outcomes. Prospective clinical studies are warranted to validate these assessments.

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