scholarly journals Ergonomics of surgical microscopes for the sitting position as determined by ocular-corpus length

2020 ◽  
Vol 11 ◽  
pp. 244
Author(s):  
Felix Goehre ◽  
Christopher Ludtka ◽  
Stefan Schwan
Keyword(s):  
Sitting Position ◽  
Surgical Practice ◽  
Lever Arm ◽  
Pentero 900 ◽  
Posterior Midline

Background: The sitting position is favorable for microsurgical procedures applied to posterior midline pathologies in both the supra- and infratentorial regions. The dimensions of the microscope corpus affect the device’s comfort and handling in the hands of the microneurosurgeon for such procedures. A shorter microscope corpus provides more favorable intraoperative ergonomics for surgical practice. Methods: Evaluation of the most comfortable microscope for its application in microsurgical procedures in the sitting position as determined by ocular-corpus length. Results: Six modern surgical microscopes were tested and evaluated regarding their ocular-corpus lengths and working distances: the Mitaka MM90, Zeiss Kinevo 900, Zeiss Pentero 900, Leica M530, Zeiss Neuro NC4, and Möller-Wedel Hi-R 1000. The ocular-corpus lengths vary between 270 and 380 mm. The Mitaka MM90 microscope has the shortest ocular-corpus length at 270 mm. Conclusion: The ocular-corpus length determines the predominant part of the lever arm, which affects the fatigue of the surgeon. By virtue of its short ocular-corpus length, the Mitaka MM90 is currently the most favorable microscope for microsurgical procedures using a sitting position.

Impact of drug eluted stents on cardiac surgical practice: a single center experience

2007 ◽  
Vol 55 (S 1) ◽  
Author(s):  
S Bachmann ◽  
FF Immer ◽  
L Englberger ◽  
M Stalder ◽  
FS Eckstein ◽  
...  
Keyword(s):  
Single Center ◽  
Surgical Practice ◽  
Single Center Experience

Posterior Midline Approach for Large Anterior/Anterolateral Foramen Magnum

Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Virender Khosla ◽  
Sunil Gupta ◽  
Rajesh Chhabra ◽  
Kanchan Mukherjee
Keyword(s):  
Foramen Magnum ◽  
Midline Approach ◽  
Posterior Midline

Analysis of Parameters Determining the Frequency and Intensity of Pneumatocele in Patients with CPA Tumor Operated in Sitting Position with Total Intravenous Anesthesia

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Stanislaw Kwiek ◽  
Hanna Doleżych ◽  
Wojciech Ślusarczyk ◽  
Piotr Bażowski ◽  
Izabela Duda ◽  
...  
Keyword(s):  
Total Intravenous Anesthesia ◽  
Sitting Position ◽  
Intravenous Anesthesia

Stabilometry in Sitting Position

2012 ◽  
Vol 132 (10) ◽  
pp. 1558-1562 ◽  
Author(s):  
Hiroki Takada ◽  
Masaki Amemori ◽  
Yasuyuki Matsuura
Keyword(s):  
Sitting Position

Pelvic varices in paediatric surgical practice: current state of the problem

2016 ◽  
Vol 52-53 (3-4) ◽  
pp. 81-89
Author(s):  
D.V. Shevchuk ◽  
◽  
A.M. Bilochenko ◽  
L.V. Shevchuk ◽  
◽  
...  
Keyword(s):  
Surgical Practice ◽  
Current State ◽  
Pelvic Varices

Effect of postural changes on intraocular pressure in patients with acute angle-closure glaucoma in Indian population

2020 ◽  
Vol 3 ◽  
pp. 2
Author(s):  
Sanjay Mishra ◽  
Ashok Kumar
Keyword(s):  
Intraocular Pressure ◽  
Acute Angle ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Sitting Position ◽  
Rebound Tonometer ◽  
Antiglaucoma Medication ◽  
Primary Angle Closure Glaucoma ◽  
Postural Changes ◽  
Healthy Control

Objective: The objective of the study was to compare the posture-induced intraocular pressure (IOP) changes in primary angle-closure glaucoma (PACG) with or without glaucoma medications, and healthy control eyes with normal IOPs in Indian subjects. Materials and Methods: The IOP was measured in the sitting position and the supine position after 10, 20, and 30 min with a rebound tonometer. Results: Twenty-five patients with PACG and 30 controls with normal IOPs were studied. The IOP in the sitting position measured with the rebound tonometer was 13.8 + 3.2 mm Hg in eyes with PAC, and 12.9 + 2.9 mm Hg in eyes with normal IOPs. The IOP increased to 14.4 mm Hg, 16.8 mm Hg, and 18.9 mm Hg at 10 min, 20 min, and 30 min in PACG subjects. In normal age-matched controls, the IOP increased to 13.4 mm Hg, 14.9 mm Hg, and 17.8 mm Hg at 10 min, 20 min, and 30 min, respectively, but none of these differences were significant (P = 0.09; P = 0.08, P = 0.08). The mean postural IOP change from baseline was also not significant between the two groups. Only three patients were on single antiglaucoma medication with well-controlled IOP in the PACG group. Conclusions: Postural IOP changes are comparable among eyes with PACG with and without glaucoma medications, and control eyes.

Microsurgical resection of medullary cavernoma via the olivary zone by the retrosigmoid supracondylar approach

2019 ◽  
Vol 1 (2) ◽  
pp. V7
Author(s):  
Ken Matsushima ◽  
Michihiro Kohno ◽  
Helmut Bertalanffy
Keyword(s):  
Cavernous Malformation ◽  
Cleavage Plane ◽  
Foramen Magnum ◽  
Senior Author ◽  
Neurological Deficits ◽  
Lateral Part ◽  
Sitting Position ◽  
Brainstem Cavernoma ◽  
Microsurgical Resection

Microsurgical resection of the medullary cavernoma is rare, comprising less than 15% of more than 250 surgeries of brainstem cavernoma performed by the senior author (H.B.).1 This video demonstrates a case of a cavernous malformation inside the lateral part of the medulla, which was surgically treated via the olivary zone by the retrosigmoid supracondylar approach in a half-sitting position. Osseous drilling of the lateral foramen magnum provided wide exposure of the cerebellomedullary cistern around the olive.2,3 The lesion was completely dissected at the appropriate cleavage plane from the normal parenchyma. The patient developed no new neurological deficits and had no recurrence during 3 years of follow-up after the operation.The video can be found here: https://youtu.be/7i7SccS5HmU.

Comparative Clinical study of Jatyadi Taila and Jatyadi Ghrita in the management of Dushta Vrana

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar
Keyword(s):  
Clinical Study ◽  
Burning Sensation ◽  
Normal Process ◽  
Surgical Practice ◽  
Local Factors ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Contaminated Wound ◽  
Group B

Dushta Vrana is a common and frequently encountered problem faced in surgical practice. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. A healthy wound in a normal body heals earlier with a minimum scar as compared to a contaminated wound. Therefore in this study all the efforts are made to make a Dushta Vrana into a Shuddha Vrana. Once the Vrana becomes Shuddha, Ropana of the Vrana will start. The objective of the study was to evaluate the clinical efficacy of Jatyadi Taila and Jatyadi Ghrita in Dushta Vrana. Clinically diagnosed 60 Patients of Dushta Vrana were randomly divided into two groups, each consisting of 30 Patients. Group A were treated with the Jatyadi Taila and Group B was treated by Jatyadi Ghrita. The results observed was based on the relief obtained on the subjective and objective parameters taken for consideration for this study viz, size of ulcer, discharge, smell, pain, burning sensation, itching and granulation were found significant (P Lass Than 0.05). On the basis of assessment criteria and overall result of treatment, the patients of Jatyadi Taila group showed better results when compared to Jatyadi Ghrita group. Even though statistically there is no much significant difference between the two groups, but by seeing the effect on individual parameters (subjective and objective) and over all response, Jatyadi Taila seems to be effective when compared to Jatyadi Ghrita. It is having more Ropana qualities when compared to Shodhana.

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