scholarly journals Do we need complementary locoregional analgesia in patients undergoing minimally invasive thoracic surgical procedures?

2018 ◽  
Vol 10 (3) ◽  
pp. 1318-1319
Author(s):  
Gilbert Massard ◽  
Anne Olland ◽  
Pierre-Emmanuel Falcoz
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Thoracic Surgical Procedures ◽  
Locoregional Analgesia

The “Spacemaker”, a New Device for Minimally Invasive Cardiothoracic Surgery: An Evaluation and Feasibility Study

2015 ◽  
Vol 10 (4) ◽  
pp. 241-247
Author(s):  
Pieter W.J. Lozekoot ◽  
Sandro Gelsomino ◽  
Paul B. Kwant ◽  
Orlando Parise ◽  
Francesco Matteucci ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Lung Tissue ◽  
Lung Ventilation ◽  
Cardiothoracic Surgery ◽  
Respiratory Compromise ◽  
One Lung Ventilation ◽  
New Device ◽  
Lead Placement ◽  
The Right

Objective Our aim was to evaluate a new inflatable lung retractor, the “Spacemaker”, and its efficacy in facilitating minimally invasive cardiothoracic surgery without the need of one lung ventilation or carbon dioxide overpressure insufflation. Methods The device was tested in 12 anesthetized pigs (90–100 kg) placed on standard endotracheal ventilation. The device was introduced into the right or left side of the chest, depending on the intended procedure to be performed, via a 3-cm incision in the fifth intercostal space. A total of seven animals were used to evaluate hemodynamic and respiratory response to the device, whereas another five animals were used to assess the feasibility of a variety of minimally invasive cardiothoracic surgical procedures. Results Introduction was easy and unhindered. The device was inflated up to 0.6 bar, thereby pushing the lung tissue gently away cranially, posteriorly, and caudally without interfering with pulmonary function or resulting in respiratory compromise. In addition, hemodynamics remained stable throughout the experiments. Different closed-chest surgical procedures such as left atrial appendage exclusion, pulmonary vein exposure, pacemaker lead placement, and endoscopic stabilization for coronary surgery, were successfully performed. Removal was quick and complete in all cases, and lung tissue showed no remnant atelectasis. Conclusions The “Spacemaker” may represent a reliable alternative to current conventional techniques to facilitate minimally invasive cardiothoracic surgery. Further research is warranted to confirm the effectiveness and the safety of this device and to optimize the model before its use in humans and its introduction into clinical practice.

Trends in the Implementation of Advanced Minimally Invasive Gynecologic Surgical Procedures in The Netherlands

2015 ◽  
Vol 22 (4) ◽  
pp. 642-647 ◽  
Author(s):  
Sara R.C. Driessen ◽  
Niki L.M. Baden ◽  
Erik W. van Zwet ◽  
Andries R.H. Twijnstra ◽  
Frank Willem Jansen
Keyword(s):  
The Netherlands ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Gynecologic Surgical Procedures

scholarly journals Surgical Treatment of Atrial Fibrillation

2021 ◽  
pp. 56-64
Author(s):  
Randall K Wolf
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Surgical Procedures

The surgical treatment of atrial fibrillation (AF) has evolved significantly over the last 20 years and even more so in the last 5 years. There are now many clinically successful surgical procedures focused on eliminating AF and AF-related stroke. This review discusses the current types of surgical AF procedures, including minimally invasive and hybrid, and may assist clinicians in understanding the various surgical AF options available to patients today.

scholarly journals A Staged Treatment of Symptomatic Lumbar Intraspinal Synovial Cysts

2019 ◽  
Vol 5 (22;5) ◽  
pp. E451-E456
Author(s):  
Kyung-Hoon Kim
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Facet Joint ◽  
University Hospital ◽  
Pain Clinic ◽  
Level Of Evidence ◽  
Endoscopic Surgical Procedures ◽  
Number Of Patients ◽  
Synovial Cysts

Background: Lumbar intraspinal synovial cyst (LISC) refers to a cyst that arises from the zygapophyseal joint capsule of the lumbar spine and contains serous or gelatinous fluid. In cases of LISCs resistant to conservative treatments, various minimally invasive percutaneous spinal techniques (MIPSTs) may be applied prior to open surgery. Objectives: The outcomes of 3-staged MIPSTs for the treatment of symptomatic LISCs resistant to conservative treatments were evaluated. Study Design: An institutional review board approved retrospective chart review. Setting: University hospital inpatients referred to our pain clinic. Methods: Review of charts of all patients who underwent MIPSTs for symptomatic LISCs resistant to conservative treatments during a time period of 13 years at a university hospital pain clinic. Patients with symptomatic LISCs resistant to conservative treatments were treated with 3-staged MIPSTs, including image-guided intraarticular aspiration, cyst distention and rupture, and injection of corticosteroids (ARI), endoscopic cyst enucleation (ECE), and endoscopic superior facetectomy (ESF) by a single pain specialist. A symptom-free period after each intervention was evaluated. Recurrence was defined as the same recurrent symptomatic radicular pain with confirmation of the LISC on magnetic resonance imaging. All patients with a minimum follow-up time of 3 years were included. Results: Of the 40 patients who underwent ARI, 3 patients failed to complete a follow-up and 19 patients (51.4%) who had recurring symptoms received ECE. Ten patients (52.6%) who had rerecurring symptoms after ECE received ESF. There was no recurrence after ESF. Limitations: This retrospective and observational study with a limited number of patients does not represent a high level of evidence. Conclusions: This information provided the recurrence rate after each intervention. Half of the patients who went on to receive ARI experienced recurrence, whereas half of the patients with recurrence who received ECE experienced re-recurrence. ESF treatment resulted in no recurrence within the 3-year study period. Key words: Conservative treatment, endoscopic surgical procedures, facet joint, intraarticular injection, minimally invasive surgical procedures, needle biopsy, nerve root compression, radiculopathy, synovial cysts

Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures

2005 ◽  
Vol 12 (3) ◽  
pp. 261-287 ◽  
Author(s):  
Adam R. Roumm ◽  
Laura Pizzi ◽  
Neil I. Goldfarb ◽  
Herbert Cohn
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Laparoscopic Surgical Procedures

Diseases of the Skeletal System

2018 ◽  
pp. 652-666
Author(s):  
Tamir Friedman ◽  
James E. Brown ◽  
Keith B. Quencer
Keyword(s):  
Minimally Invasive ◽  
Patient Care ◽  
Surgical Procedures ◽  
Malignant Tumors ◽  
Appendicular Skeleton ◽  
Diverse Group ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Technical Aspects ◽  
System P

Musculoskeletal (MSK) interventions are a diverse group of procedures aimed at both therapeutic and diagnostic arenas for patient care and management. As the field evolves, MSK interventions are offering a minimally invasive approach as an alternative for open surgical procedures, such a biopsies of the axial and appendicular skeleton for diagnostic and treatment purposes, treatment of benign and malignant tumors or spinal interventions for pain or oncology therapies. However, the proceduralist must be adept with anatomy, devices and practices of referring specialties. This chapter will delve into the technical aspects of MSK procedures as well as recommendation and pitfalls of various procedures.

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