Comparison of outcomes following minimally invasive and open posterior cervical foraminotomy: description of minimally invasive technique and review of literature

Foramen of Winslow hernias is a rare and challenging diagnosis as signs and symptoms are usually non-specific. CT imaging has become the method of choice in diagnosing such conditions preoperatively. Traditionally managed via laparotomy, there has been an increase in the use of the minimally invasive technique in recent times, though experience remains sparse. This is a case of a 73-year-old woman with hepatic flexure herniation through the foramen of Winslow who was managed by the traditional laparotomy approach. A review of the literature was performed to learn key techniques in the use of laparoscopy to manage future cases.

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Technique of Minimally Invasive Cervical Foraminotomy

Operative Neurosurgery ◽

10.1093/ons/opx053 ◽

2017 ◽

Vol 13 (6) ◽

pp. 693-701 ◽

Cited By ~ 2

Author(s):

Donald A Ross ◽

Kelly J Bridges

Keyword(s):

Minimally Invasive ◽

Specific Treatment ◽

Large Series ◽

Invasive Technique ◽

Foraminal Stenosis ◽

Posterior Cervical Foraminotomy ◽

Posterior Foraminotomy ◽

Invasive Techniques ◽

Cervical Foraminotomy ◽

Attention To Detail

Abstract BACKGROUND Posterior cervical foraminotomy is a long utilized and commonly performed procedure, but has been supplanted in many cases by anterior procedures. With the advent of minimally invasive techniques, posterior foraminotomy may again deserve a prominent place in the treatment of cervical foraminal stenosis. OBJECTIVE To report in detail a successfully utilized minimally invasive technique and the results in a large series of patients, by a single author. METHODS The technique is described and illustrated in detail. A retrospective review of the use of this technique in a large series is reported. RESULTS Precise details of the technique are described with specific attention to complication avoidance. In over 360 cases, there have been no nerve root injuries other than idiopathic C5 palsies, no wound infections, and a single durotomy that required no specific treatment. CONCLUSION Minimally invasive posterior cervical foraminotomy is a well-tolerated and effective procedure which can be performed with minimal complications when attention to detail is maintained.

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V494: Transobturator Obtape™: Minimally Invasive Technique for Female Stress Urinary Incontinence

The Journal of Urology ◽

10.1016/s0022-5347(18)35982-2 ◽

2005 ◽

Vol 173 (4S) ◽

pp. 135-135

Author(s):

Gamal M. Ghoniem ◽

Joanna Togami ◽

Usama Khater

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Minimally Invasive ◽

Minimally Invasive Technique ◽

Female Stress Urinary Incontinence ◽

Invasive Technique

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Lateral Hind-Foot Endoscopic Anterolateral/Posterolateral (LEAP) Subtalar Arthrodesis: An Effective Minimally Invasive Technique to Achieve Subtalar Fusion and Deformity Correction

Arthroscopy Techniques ◽

10.1016/j.eats.2020.10.021 ◽

2021 ◽

Vol 10 (2) ◽

pp. e423-e429

Author(s):

Anthony Perera ◽

Vikram K. Kandhari ◽

Tali Portal-Banker ◽

Stephane Guillod

Keyword(s):

Minimally Invasive ◽

Deformity Correction ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Subtalar Arthrodesis ◽

Subtalar Fusion ◽

Hind Foot

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The Emerging Role of Robotic Single-site Approach for Myomectomy: A Systematic Review of the Literature

Surgical Innovation ◽

10.1177/1553350620988227 ◽

2021 ◽

pp. 155335062098822

Author(s):

Eirini Giovannopoulou ◽

Anastasia Prodromidou ◽

Nikolaos Blontzos ◽

Christos Iavazzo

Keyword(s):

Blood Loss ◽

Minimally Invasive ◽

Complication Rate ◽

Operative Time ◽

Intraoperative Complications ◽

Single Site ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Robotic Myomectomy ◽

The Mean

Objective. To review the existing studies on single-site robotic myomectomy and test the safety and feasibility of this innovative minimally invasive technique. Data Sources. PubMed, Scopus, Google Scholar (from their inception to October 2019), as well as Clinicaltrials.gov databases up to April 2020. Methods of Study Selection. Clinical trials (prospective or retrospective) that reported the outcomes of single-site robotic myomectomy, with a sample of at least 20 patients were considered eligible for the review. Results. The present review was performed in accordance with the guidelines for Systematic Reviews and Meta-Analyses (PRISMA). Four (4) studies met the inclusion criteria, and a total of 267 patients were included with a mean age from 37.1 to 39.1 years and BMI from 21.6 to 29.4 kg/m2. The mean operative time ranged from 131.4 to 154.2 min, the mean docking time from 5.1 to 5.45 min, and the mean blood loss from 57.9 to 182.62 ml. No intraoperative complications were observed, and a conversion rate of 3.8% was reported by a sole study. The overall postoperative complication rate was estimated at 2.2%, and the mean hospital stay ranged from 0.57 to 4.7 days. No significant differences were detected when single-site robotic myomectomy was compared to the multiport technique concerning operative time, blood loss, and total complication rate. Conclusion. Our findings support the safety of single-site robotic myomectomy and its equivalency with the multiport technique on the most studied outcomes. Further studies are needed to conclude on the optimal minimally invasive technique for myomectomy.

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