Initial CT blend sign is not associated with poor outcome in patients following stereotactic minimally invasive surgery

Abstract Background: The initial computed tomography (CT) blend sign has been used as an imaging marker to predict haematoma expansion and poor outcomes in patients with a small volume intracerebral haemorrhage (ICH). However, the relationship between the blend sign and outcomes remains elusive. The present study aimed to retrospectively measure the impact of initial CT blend signs on short-term outcomes in patients with hypertensive ICH who underwent stereotactic minimally invasive surgery (sMIS). Methods: We enrolled 242 patients with spontaneous ICH. Based on the initial CT features, the patients were assigned to a blend sign group (91 patients) or a nonblend sign (control) group (151 patients). The NIHSS, GCS and mRS were used to measure the effects of sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups. Results: No significant differences in NIHSS and GCS scores were observed between the two groups. The proportion of patients with good outcomes during follow-up was not different between the two groups. The rate of rehaemorrhaging increased in the blend sign group. No significant differences in severe pulmonary infections and cardiac complications were noted between the two groups. Conclusions: The initial CT blend sign was not associated with poor outcomes in patients with hypertensive ICH who underwent sMIS. ICH patients with CT blend signs should undergo sMIS if they are suitable candidates for surgery.

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CT scan blend signs are not associated with poor outcome in patients with ICH who undergo stereotactic minimally invasive surgery

10.21203/rs.3.rs-37415/v2 ◽

2020 ◽

Author(s):

Xu Yang ◽

Yan Zhu ◽

Linshan Zhang ◽

Likun Wang ◽

Yuanhong Mao ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Cardiac Complications ◽

Control Group ◽

Poor Outcome ◽

Poor Outcomes ◽

The Impact ◽

The Relationship

Abstract Background: The initial CT blend sign has been used as an imaging marker to predict haematoma expansion and poor outcomes in patients with a small volume intracerebral haemorrhage (ICH). However, the relationship between the blend sign and outcomes remains elusive. The present study aimed to retrospectively measure the impact of initial CT blend signs on short-term outcomes in patients with hypertensive ICH who underwent stereotactic minimally invasive surgery (sMIS). Methods: We enrolled 242 patients with spontaneous ICH. Based on the initial CT features, the patients were assigned to a blend sign group (91 patients) or a non-blend sign (control) group (151 patients). The NIHSS, GCS and mRS were used to measure the efficacy of the sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups. Results: No significant differences in NIHSS and GCS at one week or two weeks after surgery were observed between the two groups. The proportion of patients with good outcomes during follow-up was not different in the two groups. Both groups displayed good functional outcomes relative to the state at admission. The rate of re-haemorrhaging increased in the blend sign group. No significant differences in severe pulmonary infections and cardiac complications were noted between the two groups. Conclusions: The initial CT blend sign was not associated with poor outcome in patients with hypertensive ICH who underwent sMIS. ICH patients with CT blend signs should undergo sMIS if they are suitable candidates for surgery.

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The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery

BMC Neurology ◽

10.1186/s12883-021-02181-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xu Yang ◽

Yan Zhu ◽

Linshan Zhang ◽

Likun Wang ◽

Yuanhong Mao ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Pulmonary Infection ◽

Small Volume ◽

Cardiac Complications ◽

Control Group ◽

Haematoma Expansion ◽

Poor Outcomes

Abstract Background The initial CT blend sign is an imaging marker that has been used to predict haematoma expansion and poor outcomes in patients with small-volume intracerebral haemorrhage (ICH). However, the association of the blend sign with the outcomes of patients undergoing surgery remains unclear. The present study aimed to retrospectively evaluate the influence of the initial CT blend sign on short-term outcomes in patients with hypertensive ICH after stereotactic minimally invasive surgery (sMIS). Methods We enrolled 242 patients with spontaneous ICH. The patients were assigned to the blend sign group (91 patients) or non-blend sign (control) group (151 patients) based on the initial CT features. The NIHSS, GCS and mRS were used to assess the effects of sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups. Results Statistically significant differences in the NIHSS and GCS scores were not observed between the blend sign group and the control group. No significant differences in the proportion of patients with good outcomes during the follow-up period were observed between the two groups. A higher rate of re-haemorrhage was noted in the blend sign group. Significant differences in the rates of severe pulmonary infection and cardiac complications were not observed between the two groups. Conclusions The initial CT blend sign is not associated with poor outcomes in patients with hypertensive ICH after sMIS. ICH patients with the CT blend sign should undergo sMIS if they are suitable candidates for surgery.

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CT Blend Signs are not Associated with Poor Outcome in Patients with ICH Following a Stereotactic Minimally Invasive Surgery

10.21203/rs.3.rs-37415/v1 ◽

2020 ◽

Author(s):

Xu Yang ◽

Linshan Zhang ◽

Likun Wang ◽

Yuanhong Mao ◽

Yinghui Li ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Cardiac Complications ◽

Control Group ◽

Term Outcome ◽

Poor Outcome ◽

Group Control Group ◽

The Impact

Abstract Backgrounds: The initial CT blend sign has been used as an imaging maker to predict haematoma expansion and poor outcome in patients with small volume intracerebral haemorrhage (ICH). However, the relationship between the blend sign and the outcome of patients remains elusive. The present study aimed to retrospectively observe the impact of initial CT blend signs on the short-term outcome of patients with hypertensive ICH underwent a stereotatic minimally invasive surgery (sMIS). Methods: Two hundreds and forty-two patients with spontaneous ICH were enrolled. Based on the initial CT features, the patients were assigned to a blend sign group (including 91 patients) or a non-blend sign group (control group, including 151 patients). The NIHSS, GCS and the mRS were used to observe the efficacy of the sMIS. The rates of severe pulmonary infection, cardiac complications were also compared between the two groups. Results: No significant differences in NIHSS and GCS in one week or two weeks after surgery were observed between the two groups. The proportion of patients with good outcome during follow-up did not show any difference between the two groups. However, both the two groups displayed good functional outcome over admission. The rate of rehaemorrhage increased in the blend sign group. No significant differences in severe pulmonary infections and cardiac complications were noted between the two groups. Conclusions：The initial CT blend sign are not associated with poor outcome of patients with hypertensive ICH underwent sMIS. ICH patients with CT blend sign should be also treated by performing sMIS if they are candidates for surgery.

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1344 THE IMPACT OF THE ALEXANDER TECHNIQUE IN IMPROVING POSTURE DURING MINIMALLY INVASIVE SURGERY

The Journal of Urology ◽

10.1016/j.juro.2010.02.950 ◽

2010 ◽

Vol 183 (4S) ◽

Cited By ~ 1

Author(s):

Pramod Reddy ◽

Trisha Reddy ◽

Paul Noh ◽

Krishnanath Gaitonde

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Alexander Technique ◽

The Impact

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The impact of surgeon-based ultrasonography for parathyroid disease on a British endocrine surgical practice

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221498389 ◽

2012 ◽

Vol 94 (1) ◽

pp. 17-23 ◽

Cited By ~ 9

Author(s):

SR Aspinall ◽

S Nicholson ◽

RD Bliss ◽

TWJ Lennard

Keyword(s):

Minimally Invasive Surgery ◽

Primary Hyperparathyroidism ◽

Minimally Invasive ◽

Negative Predictive Value ◽

Invasive Surgery ◽

Predictive Value ◽

Surgical Practice ◽

Parathyroid Disease ◽

Operative Findings ◽

The Impact

INTRODUCTION Surgeon-based ultrasonography (SUS) for parathyroid disease has not been widely adopted by British endocrine surgeons despite reports worldwide of accuracy in parathyroid localisation equivalent or superior to radiology-based ultrasonography (RUS). The aim of this study was to determine whether SUS might benefit parathyroid surgical practice in a British endocrine unit. METHODS Following an audit to establish the accuracy of RUS and technetium sestamibi (MIBI) in 54 patients, the accuracy of parathyroid localisation by SUS and RUS was compared prospectively with operative findings in 65 patients undergoing surgery for primary hyperparathyroidism (pHPT). RESULTS The sensitivity of RUS (40%) was below and MIBI (57%) was within the range of published results in the audit phase. The sensitivity (64%), negative predictive value (86%) and accuracy (86%) of SUS were significantly greater than RUS (37%, 77% and 78% respectively). SUS significantly increased the concordance of parathyroid localisation with MIBI (58% versus 32% with RUS). CONCLUSIONS SUS improves parathyroid localisation in a British endocrine surgical practice. It is a useful adjunct to parathyroid practice, particularly in centres without a dedicated parathyroid radiologist, and enables more patients with pHPT to benefit from minimally invasive surgery.

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Clinical Application of Minimally Invasive Surgery in Pain and Complications after Spinal Trauma

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i1.1774 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Tianhui Liu ◽

Xiaoying Gao ◽

Jianmin Cui

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Postoperative Recovery ◽

Spinal Trauma ◽

Minimally Invasive Treatment ◽

Control Group ◽

Study Group ◽

Invasive Treatment ◽

Treatment Scheme

Objective: To study and evaluate the incidence of pain and complications in patients with spinal trauma after minimally invasive treatment. Methods: The research period was selected from January 2018 to December 2020, and 40 patients with spinal trauma were selected. According to the random number table scheme, they were divided into the study group and the control group. The treatment scheme of the control group was traditional surgery, and the treatment scheme of the study group was minimally invasive surgery. The indicators of the two groups were compared and analyzed. Results: Compared with the two groups of surgery and postoperative recovery related indicators, the study group had more advantages (P<0.05); Compared two groups of postoperative NRS score, VAS score and the incidence of complications, the study group had more advantages(P<0.05). Conclusion: Minimally invasive treatment of spinal trauma has significant clinical effect, which can effectively relieve postoperative pain and reduce the incidence of various complications.

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Video Tutorials Increase Precision in Minimally Invasive Surgery Training – a Prospective Randomised Trial and Follow-up Study

Zentralblatt für Chirurgie - Zeitschrift für Allgemeine Viszeral- Thorax- und Gefäßchirurgie ◽

10.1055/a-0638-8295 ◽

2018 ◽

Vol 144 (02) ◽

pp. 153-162

Author(s):

Michael Thomaschewski ◽

Hamed Esnaashari ◽

Anna Höfer ◽

Lotta Renner ◽

Claudia Benecke ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Randomised Trial ◽

Prospective Randomised Trial ◽

Simulation Based ◽

Video Tutorials ◽

Group A ◽

Group B

Abstract Background Simulation-based practice has become increasingly important in minimally invasive surgery (MIS) training. Nevertheless, personnel resources for demonstration and mentoring simulation-based practice are limited. Video tutorials could be a useful tool to overcome this dilemma. However, the effect of video tutorials on MIS training and improvement of MIS skills is unclear. Methods A prospective randomised trial (n = 24 MIS novices) was conducted. A video-trainer with three different tasks (#1 – 3) was used for standardised goal-directed MIS training. The subjects were randomised to two groups with standard instructional videos (group A, n = 12) versus comprehensive video tutorials for each training task watched at specific times of repetition (group B, n = 12). Performance was analysed using the MISTELS score. At the beginning and following the curriculum, an MIS cholecystectomy (CHE) was performed on a porcine organ model and analysed using the GOALS score. After 18 weeks, participants performed 10 repetitions of tasks #1 – 3 for follow-up analysis. Results More participants completed tasks #1 and #2 in group B (83.3 and 75%) than in group A (66.7 and 50%, ns). For task #2, there was a significant improvement in precision in group B (p < 0.001). For the entire cohort, the GOALS-Scores were 12.9 before and 18.9 after the curriculum (p < 0.001), with no significant difference between groups. Upon follow-up, 84.2% (task#1), 26.3% (task#2) and 100% (task#3) of MIS novices were able to reach the defined goals (A vs. B ns). There was a trend for a better MISTELS score in group B upon follow-up. Conclusions Standardised comprehensive video tutorials watched frequently throughout practice can significantly improve precision in MIC training. This aspect should be incorporated in MIS training.

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Quality and Safety of Minimally Invasive Surgery: Past, Present, and Future

Biomedical Engineering and Computational Biology ◽

10.4137/becb.s10967 ◽

2014 ◽

Vol 6 ◽

pp. BECB.S10967 ◽

Cited By ~ 17

Author(s):

Bernadette McCrory ◽

Chad A. LaGrange ◽

M.S. Hallbeck

Keyword(s):

Minimally Invasive Surgery ◽

Adverse Events ◽

Minimally Invasive ◽

Invasive Surgery ◽

Human Performance ◽

Motor Vehicle ◽

The United States ◽

Quality And Safety ◽

Surgical Errors ◽

The Impact

Adverse events because of medical errors are a leading cause of death in the United States (US) exceeding the mortality rates of motor vehicle accidents, breast cancer, and AIDS. Improvements can and should be made to reduce the rates of preventable surgical errors because they account for nearly half of all adverse events within hospitals. Although minimally invasive surgery (MIS) has proven patient benefits such as reduced postoperative pain and hospital stay, its operative environment imposes substantial physical and cognitive strain on the surgeon increasing the risk of error. To mitigate errors and protect patients, a multidisciplinary approach is needed to improve MIS. Clinical human factors, and biomedical engineering principles and methodologies can be used to develop and assess laparoscopic surgery instrumentation, practices, and procedures. First, the foundational understanding and the imperative to transform health care into a high-quality and safe system is discussed. Next, a generalized perspective is presented on the impact of the design and redesign of surgical technologies and processes on human performance. Finally, the future of this field and the research needed to further improve the quality and safety of MIS is discussed.

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