scholarly journals Recent Updates in Neurosurgical Interventions for Spontaneous Intracerebral Hemorrhage: Minimally Invasive Surgery to Improve Surgical Performance

2021 ◽  
Vol 12 ◽  
Author(s):  
Hitoshi Kobata ◽  
Naokado Ikeda
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Invasive Surgery ◽  
Functional Improvement ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Surgical Performance ◽  
Significant Information

The efficacy and safety of surgical treatment for intracerebral hemorrhage (ICH) have long been subjects of investigation and debate. The recent results of the minimally invasive surgery plus alteplase for intracerebral hemorrhage evacuation (MISTIE) III trial demonstrated the safety of the procedure and a reduction in mortality compared to medical treatment. Although no improvement in functional outcomes was shown, the trial elucidated that benefits of intervention depend on surgical performance: a greater ICH reduction, defined as ≤ 15 mL end of treatment ICH volume or ≥70% volume reduction, correlated with significant functional improvement. Recent meta-analyses suggested the benefits of neurosurgical hematoma evacuation, especially when performed earlier and done using minimally invasive procedures. In MISTIE III, to confirm hemostasis and reduce the risk of rebleeding, the mean time from onset to surgery and treatment completion took 47 and 123 h, respectively. Theoretically, the earlier the hematoma is removed, the better the outcome. Therefore, a higher rate of hematoma reduction within an earlier time course may be beneficial. Neuroendoscopic surgery enables less invasive removal of ICH under direct visualization. Minimally invasive procedures have continued to evolve with the support of advanced guidance systems and devices in favor of better surgical performance. Ongoing randomized controlled trials utilizing emerging minimally invasive techniques, such as the Early Minimally Invasive Removal of Intra Cerebral Hemorrhage (ENRICH) trial, Minimally Invasive Endoscopic Surgical Treatment with Apollo/Artemis in Patients with Brain Hemorrhage (INVEST) trial, and the Dutch Intracerebral Hemorrhage Surgery Trial (DIST), may provide significant information on the optimal treatment for ICH.

scholarly journals Perforating urinary bladder foreign body managed with minimally invasive surgery

2021 ◽  
pp. 44-46
Author(s):  
Ishita Laha ◽  
Shahid Hameed ◽  
Swapnil Sen ◽  
Kalyan Kumar Sarkar
Keyword(s):  
Minimally Invasive Surgery ◽  
Foreign Body ◽  
Urinary Bladder ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Foreign Bodies ◽  
Bladder Wall ◽  
Clinical Impact ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures

Foreign bodies are occasionally reported in the urinary bladder, especially in females. The consequences and clinical impact depend on the route of insertion and the patient’s hemodynamic condition, and their removal may include minimally invasive procedures to open cystostomy. In most cases, foreign bodies are removed through transurethral approach. Here, we report one such case of a foreign body in the urinary bladder, which was self-inserted and had perforated through the bladder wall, yet could be successfully managed by cystoscopic removal without any complications.

scholarly journals Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Luis M. Marti-Martinez ◽  
Rubén Lorca-Gutierrez ◽  
Salvador Pedro Sánchez-Pérez ◽  
Jonatan Garcia-Campos ◽  
Nadia Fernández Ehrling ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Functional Status ◽  
Invasive Surgery ◽  
Joint Stiffness ◽  
Efficacy And Safety ◽  
Clinical And Functional Status

Abstract Background Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. Methods This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. Results At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p <  0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. Conclusions Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

scholarly journals Effectiveness of Surgical Treatment of Muscular Torticollis in Children

2020 ◽  
Vol 6 (4) ◽  
pp. 99-105
Author(s):  
M. Emilbekov ◽  
M. Uzakbayev ◽  
N. Amiraev
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Child Welfare ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
New Technique ◽  
A New Technique ◽  
Muscular Torticollis

The article presents the results of surgical treatment, i.e. minimally invasive surgery using a new technique, in 72 children with a diagnosis of Torticollis who were hospitalized in National Center for Maternal and Child Welfare, Bishkek, Kyrgyzstan. The optimized method of performing surgical treatment of the Torticollis allows improving the outcomes of surgery, which is confirmed by the absence of complications, a higher number of good outcomes (P< 0.05).

Spontaneous intracranial haematoma

2019 ◽  
pp. 643-650
Author(s):  
Berk Orakcioglu ◽  
Andreas W. Unterberg
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
High Morbidity ◽  
Intracranial Haematoma ◽  
Randomized Controlled ◽  
Randomized Controlled Studies

Spontaneous intracranial haematomas remain a challenging pathology with high morbidity and mortality (60–80% of long-term disability). Despite decades of the search for specific treatments no evidence has yet been found for neither conservative nor surgical treatment in randomized controlled studies. While patients with space occupying infratentorial haematomas are more likely to benefit from surgery treatment of supratentorial haemorrhages remains controversial. Recent studies suggest that minimally invasive surgery including endoscopy to evacuate intracranial haematoma may be more effective than conservative treatment or standard surgical craniotomy (MISTIE II). Future studies (i.e. MISTIE III, MISTICH, SWITCH) will hopefully demonstrate evidence for individualized treatments.

scholarly journals Rebleeding after minimally invasive surgery for intracerebral hemorrhage: A mini-review

2020 ◽  
Author(s):  
Wenliang Guo ◽  
Guangyu Guo ◽  
Shuang Bai ◽  
Hong Deng ◽  
Yuping Tang ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Invasive Surgery
Sign in / Sign up

Export Citation Format

Share Document