Minimally Invasive Technique for Treatment of Osteoid Osteoma: A Case of Anatomically Critical Lesion in an Adolescent Patient

Background: Osteoid osteoma is a benign osteogenic tumor affecting adolescents and young adults. It is managed using different treatment options. The lesions located around the lesser trochanter is rare and the management of these lesions is troublesome. Here, we report a case of an osteoid osteoma in the lesser trochanteric region, managed with a minimally invasive surgical excision of the lesion. Case Report: In a 14-year-old girl patient with nocturnal left thigh pain from 2 years before, conservative treatment with administration of non-steroidal anti-inflammatory drugs (NSAIDs) was not effective, and symptoms were refractory to medication. The day after surgery the patient was pain-free. Conclusion: The surgical management of osteoid osteoma in the region of the lesser trochanter is troublesome. The minimally invasive surgical excision of the lesion using CT-guided percutaneous drilling and resection of the osteoid osteoma is a safe, simple, cost-benefit, and effective technique.

Download Full-text

Computed tomography–guided percutaneous facet screw fixation in the lumbar spine

Journal of Neurosurgery Spine ◽

10.3171/spi-07/07/095 ◽

2007 ◽

Vol 7 (1) ◽

pp. 95-98 ◽

Cited By ~ 16

Author(s):

Ho Yeong Kang ◽

Sang-Ho Lee ◽

Sang Hyeop Jeon ◽

Song-Woo Shin

Keyword(s):

Computed Tomography ◽

Minimally Invasive ◽

Screw Fixation ◽

Degenerative Spondylolisthesis ◽

Pedicle Screw Fixation ◽

Invasive Technique ◽

Primary Therapy ◽

Disc Disease ◽

Ct Guided ◽

Minimally Invasive Surgical

✓ The authors describe a new minimally invasive technique for posterior supplementation using percutaneous trans-laminar facet screw (TFS) fixation with computed tomography (CT) guidance. Oblique axial images were used to determine facet screw fixation sites. After the induction of local anesthesia and conscious sedation, a guide pin was inserted and guided with a laser mounted on the CT gantry. Cannulated TFSs were placed via a percutaneous approach. From December 2002 to August 2003, 18 patients underwent CT-guided TFS. In 17 of these patients this procedure was supplementary to anterior lumbar interbody fusion, which had been performed several days earlier; in the remaining patient, CT-guided TFS fixation was undertaken as the primary therapy. Twelve patients had painful degenerative disc disease or unstable degenerative spondylolisthesis, three had infections, and three had deformities. All screws were inserted accurately and there were no complications. This new minimally invasive surgical technique may offer an alternative to pedicle screw fixation as a method of posterior supplementation.

Download Full-text

689 Silac (Sinus Laser-Assisted Closure) For Pilonidal Sinus: Our NHS Experience

British Journal of Surgery ◽

10.1093/bjs/znab134.021 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

S Kalaskar ◽

J Adamek

Keyword(s):

Minimally Invasive ◽

Success Rate ◽

Pilonidal Disease ◽

Surgical Excision ◽

Pilot Project ◽

Invasive Technique ◽

Recurrence Rates ◽

Pilonidal Cyst ◽

Primary Wound Closure

Abstract Introduction The accepted treatment of pilonidal disease still consists of surgical excision with primary wound closure. This treatment has complications such as excessive pain, delayed wound healing, and recurrence. We introduced this technique using a radial laser probe (SiLaCTM, Biolitec, Germany). Previous studies have shown encouraging results with respect to safety, patient satisfaction, and minimal recurrence rates. Method The pilot project was planned with the objectives to assess postoperative complications and reoperation rates. All operations were performed as day case procedures under general anaesthesia. We studied the data of our first 25patients operated with this technique between January 2019 and December 2019 using a prospective database and outpatient clinic follow up. Results The median follow up duration was 13 months. The initial success rate was 64%(16/25), reoperation was required in 32%(8/25) and one patient was lost to follow up. one patient returned with abscess formation in the postoperative period. Conclusions SiLaC is a safe and minimally invasive technique for the destruction of the pilonidal cyst and sinus. The success rate is modest, making this new therapy a minimally invasive option for the majority of the patients with pilonidal disease but it should be offered with caution.

Download Full-text

Results of a novel surgical technique for iridodialysis repair using segments

10.21203/rs.3.rs-339853/v1 ◽

2021 ◽

Author(s):

Ugur Unsal ◽

Huri Sabur ◽

Mehmet Soyler

Keyword(s):

Surgical Technique ◽

Minimally Invasive ◽

Clinical Results ◽

Study Data ◽

Invasive Technique ◽

Minimally Invasive Surgical ◽

Corrected Distance Visual Acuity ◽

History Of ◽

Surgical Manipulation

Abstract Purpose: To describe a novel surgical technique for iridodialysis repair using iris retractor segments and report its clinical results.Methods: 53 eyes of 53 patients who underwent surgery for iridodialysis repair were enrolled in this retrospective study. Data recorded from patient files consisted of age, sex, history of trauma, surgical indications and type of surgery, preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), complications, and follow-up time. The novel, minimally invasive surgical technique was explicitly described in detail.Results: Mean follow-up time was 34.4 (range 12-84) months. The subjects were 29 (54.7%) men and 26 (45.3%) women, and the mean age was 56.6±14.0 years. Iridodialysis repair performed using one segment in 37 (69.8%) eyes, two segments in 15 (28.3%) eyes, and three segments in 1 (1.9%) eye. Pupilloplasty was performed in 17 eyes due to wide pupil diameter. The iridodialysis repair was combined with lens removal in 48 eyes, and anterior vitrectomy was performed in 10 eyes. CDVA significantly improved after surgery (p<0.001). Post-traumatic IOP rise was the most common complication, and six patients needed medical therapy for glaucoma control.Conclusion: Iridodialysis repair using iris retractor segment is a minimally invasive technique and found to be safe and effective, providing less surgical manipulation and surgical time than other techniques.

Download Full-text

Paradigmaváltás a csontmetasztázisok sebészetében. II. Gerincmetasztázisok kezelése

Orvosi Hetilap ◽

10.1556/650.2018.30930 ◽

2018 ◽

Vol 159 (8) ◽

pp. 297-302

Author(s):

Áron Lazáry ◽

Zsolt Szövérfi ◽

Péter Pál Varga

Keyword(s):

Minimally Invasive ◽

Spinal Metastasis ◽

Treatment Options ◽

Surgical Techniques ◽

Spinal Metastases ◽

Treatment Method ◽

Minimally Invasive Surgical ◽

Published Evidence ◽

Minimally Invasive Stabilization ◽

Oncologic Treatment

Abstract: The incidence of spinal metastases is constantly growing, but due to the advancements in oncologic treatment methods, the survival and the quality of life of the patients are persistently improving. Choosing the optimal treatment method is essential, and several factors should be considered: type of the primary tumor, segmental stability, the symptoms caused by the metastasis and the general condition of the patient. Using modern radiotherapeutic methods combined with minimally invasive surgical techniques (minimally invasive stabilization, separation surgery) in the majority of patients permits adequate local control with low complication rate. In our review, we describe the state-of-the-art, modern spinal metastasis treatment options based on the recently published evidence. Orv Hetil. 2018; 159(8): 297–302.

Download Full-text

Bilateral tubular minimally invasive approach for decompression, reduction and fixation in lumbosacral lythic spondylolisthesis

Neurosurgical FOCUS ◽

10.3171/2013.v2.focus13196 ◽

2013 ◽

Vol 35 (v2supplement) ◽

pp. Video9 ◽

Cited By ~ 5

Author(s):

Giuseppe M.V. Barbagallo ◽

Francesco Certo ◽

Giovanni Sciacca ◽

Vincenzo Albanese

Keyword(s):

Minimally Invasive ◽

Postoperative Recovery ◽

Pedicle Screw Fixation ◽

Invasive Technique ◽

Surgical Morbidity ◽

Nerve Roots ◽

Invasive Approach ◽

Minimally Invasive Surgical ◽

Pull Out ◽

Mini Open

This video demonstrates the minimally invasive surgical technique used in a 56-year-old woman suffering from L-5 spondylolysis and grade 2 L5–S1 spondylolisthesis. The first author used expandable tubular retractors bilaterally to perform neural decompression, mini-open TLIF, spondylolysthesis reduction and L5–S1 pedicle screw fixation. L-5 cement augmentation was performed through cannulated and fenestrated screws to enhance resistance to screw pull-out secondary to reduction maneuvers.Sequential surgical steps related to microsurgery, spondylolysthesis reduction and instrumentation are shown and commented.We submit that in cases of lythic spondylolisthesis a bilateral traversing and exiting nerve roots decompression is a safer option prior to performing the deformity reduction and fixation; the proposed minimally invasive technique may help in reducing surgical morbidity and improving postoperative recovery.The video can be found here: http://youtu.be/G4Qdg-A-Y3M.

Download Full-text

Minimally invasive excision of gynaecomastia – a novel and effective surgical technique

Annals of The Royal College of Surgeons of England ◽

10.1308/003588410x12628812458815 ◽

2010 ◽

Vol 92 (3) ◽

pp. 198-200 ◽

Cited By ~ 19

Author(s):

O Qutob ◽

B Elahi ◽

V Garimella ◽

N Ihsan ◽

PJ Drew

Keyword(s):

Minimally Invasive ◽

Treatment Options ◽

Invasive Approach ◽

Anterior Axillary Line ◽

Minimally Invasive Surgical ◽

Invasive Surgical Approach ◽

Male Patients ◽

Breast Care ◽

Average Procedure Time

INTRODUCTION More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS Patients diagnosed with idiopathic benign gynaecomastia referred to the Breast Care Unit of Castle Hill Hospital between June 2002 and April 2007 and requesting surgical intervention underwent VABD excision and liposuction. All patients underwent thorough investigations to exclude any underlying cause for their gynaecomastia. The procedure was carried out by a single consultant surgeon with special interest in breast surgery. An 8-G mammotome probe was advanced through a 4-mm incision positioned in the corresponding anterior axillary line to excise the glandular disc. Liposuction was performed through the same incision. Incision wounds were closed with Steristrips. A pressure dressing was applied over wound by corset and an inflatable device. RESULTS Thirty-six male patients with grade I and II gynaecomastia were recruited (22 bilateral, 14 unilateral). Average age was 33.3 years (range, 16–88 years). All underwent mammotome excision and liposuction. There were no conversions to an open procedure. The average procedure time was 50.3 min (range, 30–80 min). One intra-operative complication was recorded. The minimum follow-up time was 2 months. Thirty-four patients reported excellent satisfaction, two patients had residual gynaecomastia and needed a re-do procedure. Three patients developed small haematomas that resolved spontaneously. CONCLUSION This novel, minimally invasive, surgical approach for gynaecomastia gives excellent results with minimal morbidity.

Download Full-text

Description of a minimally invasive technique with a modified instrument for the osteosynthesis of proximal femoral fractures using the standard DHS and case series

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-6991e-20202590 ◽

2020 ◽

Vol 47 ◽

Author(s):

RICARDO RAMON CAMACHO IRIGOYEN ◽

RAFAEL DE LUCA DE-LUCENA ◽

JEAN KLAY SANTOS MACHADO ◽

GABRIEL SEVERO DA-SILVA ◽

CARLOS ROBERTO SCHWARTSMANN ◽

...

Keyword(s):

Minimally Invasive ◽

Surgical Techniques ◽

Case Series ◽

Femoral Fractures ◽

Soft Tissue Injuries ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Trochanteric Fractures ◽

Clinical Complications ◽

Minimally Invasive Surgical

ABSTRACT Introduction: the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 2050. Internal fixation is the most common surgical treatment for intertrochanteric fractures. Objectives: the objective of the present research is to describe a minimally invasive technique with a modified instrument for the treatment of stable proximal femoral trochanteric fractures using the standard DHS, classified as Tronzo types 1 and 2 (AO 31A1.2), and presenting a case series. Methods: a case was selected to present the technique. Patients operated by this technique undergo a clinical evaluation and preoperative preparation as routine. The criteria for inclusion in the study were the presence of stable fracture of the proximal femur verified by two hip specialist orthopedists, and operated by the minimally invasive technique with a modified instrument using a standard DHS. Exclusion criteria were cases of patients operated for unstable fractures, and the use of other surgical techniques. A case series of 98 patients was performed and discussed. Results: minimally invasive technique with a modified instrument using the standard DHS device can reduce bleeding, it decreases soft tissue injuries, surgical time, and hospital stay, as any other MIPO procedures. Ninety-eight patients underwent the operation (Tronzo types I and II), 59 female and 39 male, ages from 50 to 85 years old. Immediate post-operative complications were shortening of the lower limb, loss of fracture reduction, and death by clinical complications. Conclusion: the present study describes a minimally invasive surgical technique using a modified instrument to perform proximal femoral osteosynthesis for stable trochanteric fractures, using the standard DHS.

Download Full-text

Harlequin syndrome following microwave ablation in a child with a symptomatic paraspinal mass

BMJ Case Reports ◽

10.1136/bcr-2019-232700 ◽

2020 ◽

Vol 13 (8) ◽

pp. e232700

Author(s):

Lauren Schultz ◽

Amelia Mackarey ◽

Caleb Oh ◽

Paul Kent

Keyword(s):

Minimally Invasive ◽

Microwave Ablation ◽

Paediatric Population ◽

Invasive Technique ◽

Specific Mechanism ◽

Ct Guided ◽

Ablation Therapy ◽

Inherent Risk ◽

Harlequin Syndrome ◽

The Face

Our goal is to describe a case of Harlequin syndrome associated with microwave ablation in the treatment of a symptomatic paraspinal mass in a child, along with a summary of the literature. Our patient is the only known case of persistent Harlequin syndrome associated with microwave ablation treatment of a symptomatic paraspinal mass. Harlequin syndrome is a rare neurological condition characterised by unilateral sweating and flushing of the face, neck and/or upper chest. The specific mechanism is unclear, but the majority of cases are believed to be a result of contralateral lesions along the sympathetic chain. CT-guided microwave ablation therapy is a minimally invasive technique used as an alternative to surgery in this case due to the risk and morbidity associated with excision of the mass. There is limited literature assessing the use and inherent risk of developing complications following microwave ablation to the paraspinal region in the paediatric population.

Download Full-text

T1 Vertebra Pedicular Osteoid Osteoma: Minimally Invasive Surgical Resection Aided by New Integrated Navigation to 3D Imaging Device

Case Reports in Orthopedics ◽

10.1155/2019/7626454 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

M. Prod’homme ◽

G. Cavalié ◽

G. Kerschbaumer ◽

S. Valmary-Degano ◽

M. Boudissa ◽

...

Keyword(s):

Minimally Invasive ◽

Osteoid Osteoma ◽

3D Imaging ◽

Imaging System ◽

Tumor Resection ◽

Complete Relief ◽

Integrated Navigation ◽

Navigation Surgery ◽

Imaging Device ◽

Minimally Invasive Surgical

We hereby describe a minimally invasive resection of a T1 pedicular osteoid osteoma next to the vertebral canal. The patient had an 18-month report of painful radiculopathy. We performed the surgery under 3D imaging guidance using navigation with an all-in-one device. Full procedure irradiation was 1.17 mSv for a 181-picture acquisition. Complete operative time incision to closure was 58 minutes. Despite sparing the vertebral stability without any fixation, the tumor resection was well-margined, thanks to the focused guidance. After surgery, the patient had complete relief of his symptoms at the 6-month follow-up. 3D imaging system coupled to navigation made the procedure safe without consuming time. The single Surgivisio® device allows comfortable 3D minimally invasive spine navigation surgery with the ergonomics of a C-arm.

Download Full-text

Mini-invasive technique of implanting the first domestic wireless epicardial pacemaker with a MEMS-converter

Russian Open Medical Journal ◽

10.15275/rusomj.2020.0206 ◽

2020 ◽

Vol 9 (2) ◽

Author(s):

Olga L. Bockeria ◽

Mikhail B. Biniashvili ◽

Tatyana G. Le ◽

Anna S. Satyukova ◽

Daniyar K. Zhiengaliev ◽

...

Keyword(s):

Surgical Treatment ◽

Surgical Technique ◽

Minimally Invasive ◽

Energy Efficient ◽

Electrical Energy ◽

Invasive Technique ◽

Cardiac Pathology ◽

Microelectromechanical System ◽

Minimally Invasive Surgical ◽

Life Threatening

This article describes a minimally invasive surgical technique for implanting the pacemaker with a microelectromechanical system (MEMS) converter of kinematic energy into electrical energy in patients with life-threatening rhythm disorders. This kind of technique is recommended for patients with cardiac pathology who are preparing for surgical treatment of the main pathology with simultaneous implantation of the pacemaker with MEMS-converter of kinematic energy into electrical energy. Implantation of the pacemaker should be performed in the most energy-efficient zone of the epicardium, determined in advance by the method of tissue echocardiography.

Download Full-text