Intraoperative and postoperative complications in the surgical treatment of craniosynostosis: minimally invasive versus open surgical procedures

OBJECTIVETo compare minimally invasive endoscopic and open surgical procedures, to improve informed consent of parents, and to establish a baseline for further targeted improvement of surgical care, this study evaluated the complication rate and blood transfusion rate of craniosynostosis surgery in our department.METHODSA prospective complication registration database that contains a consecutive cohort of all pediatric neurosurgical procedures in the authors’ neurosurgical department was used. All pediatric patients who underwent neurosurgical treatment for craniosynostosis between February 2004 and December 2014 were included. In total, 187 procedures were performed, of which 121 were endoscopically assisted minimally invasive procedures (65%). Ninety-three patients were diagnosed with scaphocephaly, 50 with trigonocephaly, 26 with plagiocephaly, 3 with brachycephaly, 9 with a craniosynostosis syndrome, and 6 patients were suffering from nonsyndromic multisutural craniosynostosis.RESULTSA total of 18 complications occurred in 187 procedures (9.6%, 95% CI 6.2–15), of which 5.3% (n = 10, 95% CI 2.9–10) occurred intraoperatively and 4.2% (n = 8, 95% CI 2.2–8.2) occurred postoperatively. In the open surgical procedure group, 9 complications occurred: 6 intraoperatively and 3 postoperatively. In the endoscopically assisted procedure group, 9 complications occurred: 4 intraoperatively and 5 postoperatively. Blood transfusion was needed in 100% (n = 66) of the open surgical procedures but in only 21% (n = 26, 95% CI 15–30) of the endoscopic procedures. One patient suffered a transfusion reaction, and 6 patients suffered infections, only one of which was a surgical site infection. A dural tear was the most common intraoperative complication that occurred (n = 8), but it never led to postoperative sequelae. Intraoperative bleeding from a sagittal sinus occurred in one patient with only minimal blood loss. There were no deaths, permanent morbidity, or neurological sequelae.CONCLUSIONSComplications during craniosynostosis surgery were relatively few and minor and were without permanent sequelae in open and in minimally invasive procedures. The blood transfusion rate was significantly reduced in endoscopic procedures compared with open procedures.

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Biological and radiation safety for patients during interventional and minimally invasive procedures for spine traumas and diseases: Experience of neurosurgical department of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia

Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations ◽

10.25016/2541-7487-2017-0-3-38-46 ◽

2017 ◽

pp. 38-46 ◽

Cited By ~ 1

Author(s):

Ivan Victorovich Volkov ◽

Igor’ Shamansurovich Karabaev ◽

Sergei Sergeevich Aleksanin

Keyword(s):

Minimally Invasive ◽

Radiation Safety ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Neurosurgical Department ◽

Radiation Medicine

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Collapsing the Surfaces of Skin and Photograph in Cosmetic Minimally-Invasive Procedures

Body & Society ◽

10.1177/1357034x18766289 ◽

2018 ◽

Vol 24 (1-2) ◽

pp. 175-192

Author(s):

Rachel Alpha Johnston Hurst

Keyword(s):

Soft Tissue ◽

Minimally Invasive ◽

Surgical Procedures ◽

Cosmetic Surgery ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Laser Treatments ◽

Chemical Peels ◽

The Difference

This article proposes that cosmetic minimally-invasive procedures – Botox injections, soft-tissue fillers, microdermabrasion, chemical peels and laser treatments – are an under-researched area and provide a number of promising paths for skin studies research. I argue that cosmetic minimally-invasive procedures collapse the difference between the surfaces of the photograph and the skin – the primary surfaces of cosmetic surgery – more successfully than cosmetic surgical procedures. More precisely, I maintain that the difference between photograph and skin is collapsed in two ways: first, through narrating the transformation of the skin’s surface in a way that more closely matches the photographic promises of the cosmetic surgery industry; and, second, by depicting the surgical penetration of the skin through advertising photography. The article concludes by suggesting that further investigation into cosmetic minimally-invasive procedures could offer a new way to think about relationships between ‘normative’ and ‘non-normative’ skin modification practices.

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Thyroid cancer surgery – in what direction are we going? A mini-review

Journal of International Medical Research ◽

10.1177/0300060520914803 ◽

2020 ◽

Vol 48 (4) ◽

pp. 030006052091480

Author(s):

Krzysztof Kaliszewski ◽

Beata Wojtczak ◽

Krzysztof Sutkowski ◽

Jerzy Rudnicki

Keyword(s):

Thyroid Cancer ◽

Minimally Invasive ◽

Surgical Procedures ◽

Thyroid Disease ◽

Cancer Surgery ◽

Cosmetic Outcome ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Advantages And Disadvantages

The prevalence of thyroid cancer, especially in women, is increasing dramatically. Therefore, patients often undergo thyroidectomy upon diagnosis. However, the cosmetic outcome after surgery is of particular concern for many patients. Thus, minimally invasive procedures for treating thyroid disease have been established in recent decades. Total endoscopic and robotic procedures have been slowly and successively introduced while meeting all oncological criteria. Our analysis of the advantages and disadvantages of scarless surgical procedures suggests that the cosmetic aspects of these surgeries will continue to become more important. This review assesses the recent findings regarding the roles of endoscopic and robotic procedures in thyroid cancer surgery.

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Minimally Traumatic Surgical Procedures in Periodontics: a Review

Journal of Health Sciences ◽

10.17921/2447-8938.2015v17n1p60-63 ◽

2015 ◽

Vol 17 (1) ◽

pp. 60

Author(s):

Humberto Osvaldo Schwartz-Filho ◽

William Cunha Brandt ◽

Caio Vinicius Gonçalves Roman-Torres

Keyword(s):

Minimally Invasive ◽

Surgical Procedures ◽

Successful Outcome ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Periodontal Surgery ◽

Surgical Access ◽

Surgical Wounds ◽

Significant Difference ◽

Microsurgical Approach

<p>The concept of minimally invasive procedures can be extended to all fields of dentistry. Periodontics, in particular, has been reported as one of the areas with great benefits. This review aims to describe the use of minimally invasive procedures in periodontal surgery, its concepts, applications, and possible benefits from its use. For that, 682 articles published between 1950 and 2012 focused on minimally invasive periodontal surgery were evaluated. Of them, 669 studies did not describe clearly the procedures, and did not attend the inclusion criteria. The results showed that proper lighting promotes increased visual acuity during surgical procedures, favoring the precision associated with<br />microsurgical instruments specifically designed, allowing a more accurate manipulation of the soft and hard tissues. Surgical access avoids unnecessary tissues removal, optimizing the debridement, improving vascularisation, and therefore the possibility of obtaining primary healing of surgical wounds. The microsurgical approach can improve the predictability of different periodontal procedures, providing better results and cause less postoperative discomfort. However, few controlled methodologies on the use of instruments to promote minimally invasive procedures in periodontics have been found in literature. Therefore, studies are needed to determine whether microsurgical techniques can lead to a significant difference in the successful outcome. Most of the studies are based on observations and experiences of the authors, which clearly<br />show that there are advantages in having better lighting, better vision, and a more controlled and less traumatic technique.</p>

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Are Minimally Invasive Procedures Harder to Acquire than Conventional Surgical Procedures?

Gynecologic and Obstetric Investigation ◽

10.1159/000321796 ◽

2011 ◽

Vol 71 (4) ◽

pp. 268-273 ◽

Cited By ~ 2

Author(s):

Ellen Hiemstra ◽

Wendela Kolkman ◽

Saskia le Cessie ◽

Frank Willem Jansen

Keyword(s):

Minimally Invasive ◽

Surgical Procedures ◽

Minimally Invasive Procedures ◽

Invasive Procedures

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Concurrent three dimensional neuroendoscopy: initial descriptions of application to clinical practice

Neurosurgical FOCUS ◽

10.3171/foc.1999.6.4.15 ◽

1999 ◽

Vol 6 (4) ◽

pp. E14 ◽

Cited By ~ 9

Author(s):

Joseph C. T. Chen ◽

Michael L. Levy ◽

Ziv Corber ◽

Murwarid Mura Assifi

Keyword(s):

Minimally Invasive ◽

Visual Cues ◽

Three Dimensional ◽

Significant Advance ◽

Neurosurgical Procedures ◽

Minimally Invasive Procedures ◽

Invasive Procedures ◽

Primary Means ◽

Invasive Techniques ◽

Stereoscopic Visualization

Applications of endoscopic technique neurosurgery are becoming increasingly popular as greater evidence of the safety and efficacy of these techniques is reported. Nevertheless, significant technical limitations need to be solved before neuroendoscopy can achieve widespread popularity. One limitation is the surgeon's difficulties in becoming anatomically oriented in a two-dimensional (2-D) environment. The lack of appropriate visual cues to orient oneself in three-dimensional (3-D) space makes relatively simple anatomical regions difficult to navigate. The authors describe an endoscopy system that allows for stereoscopic visualization during minimally invasive procedures and that acts as an adjunct to conventional open craniotomies. Four cases are described in which stereoendoscopy was used as either a primary means of visualization or as an adjunct to the operating microscope in conventional open neurosurgical procedures. The authors believe that stereoendoscopic vision is a significant advance in endoscope technology and will play a large role in the popularization of minimally invasive techniques in neurosurgery.

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