scholarly journals Virtual autopsy to assess sacral anatomy: Conditions for a minimal invasive approach to the spinal canal through the hiatus sacralis

2017 ◽  
Vol 8 (1) ◽  
pp. 290
Author(s):  
Philippe Schucht ◽  
Andrea Bodmer ◽  
Steffen Ross ◽  
Andreas Raabe ◽  
Jürgen Beck ◽  
...  
Keyword(s):  
Spinal Canal ◽  
Minimal Invasive ◽  
Invasive Approach ◽  
Virtual Autopsy ◽  
Sacral Anatomy ◽  
Minimal Invasive Approach

Full-endoscopic surgery for gunshot penetrating wound of the lumbar spine (literature review and clinical case)

2018 ◽  
Vol 20 (2) ◽  
pp. 66-73
Author(s):  
M. N. Kravtsov ◽  
S. A. Landik ◽  
A. А. Dubinin ◽  
K. S. Azatyan ◽  
В. V. Gaidar ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Endoscopic Surgery ◽  
Spinal Canal ◽  
Gunshot Wound ◽  
Clinical Case ◽  
Gunshot Wounds ◽  
Minimal Invasive ◽  
Study Objective ◽  
Invasive Approach ◽  
Minimal Invasive Approach

The study objectiveis to determine the feasibility and effectiveness evaluation of full-endoscopic surgery in gunshot wound of the lumbar spine.Materials and methods.A clinical case of a 24-year-old male who received a gunshot wound to the lumbar spine is described. The patient underwent a full-endoscopic intervention aimed at extracting a bullet from the spinal canal.Results.Minimal-invasive approach to spinal canal with the possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated.Conclusion.Good clinical outcome allows to recommend the full-endoscopic surgery with similar gunshot wounds of the lumbar spine at the stage of specialized care.

scholarly journals Transforaminal Approach in Thoracal Disc Pathologies: Transforaminal Microdiscectomy Technique

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Sedat Dalbayrak ◽  
Onur Yaman ◽  
Kadir Öztürk ◽  
Mesut Yılmaz ◽  
Mahmut Gökdağ ◽  
...  
Keyword(s):  
Spinal Canal ◽  
Minimal Invasive ◽  
Surgical Approaches ◽  
Invasive Approach ◽  
Transforaminal Approach ◽  
Minimal Invasive Approach ◽  
Disc Herniations ◽  
The Mean ◽  
Thoracic Disc

Objective. Many surgical approaches have been defined and implemented in the last few decades for thoracic disc herniations. The endoscopic foraminal approach in foraminal, lateral, and far lateral disc hernias is a contemporary minimal invasive approach. This study was performed to show that the approach is possible using the microscope without an endoscope, and even the intervention on the discs within the spinal canal is possible by having access through the foramen.Methods.Forty-two cases with disc hernias in the medial of the pedicle were included in this study; surgeries were performed with transforaminal approach and microsurgically. Extraforaminal disc hernias were not included in the study. Access was made through the Kambin triangle, foramen was enlarged, and spinal canal was entered.Results.The procedure took 65 minutes in the average, and the mean bleeding amount was about 100cc. They were mobilized within the same day postoperatively. No complications were seen. Follow-up periods range between 5 and 84 months, and the mean follow-up period is 30.2 months.Conclusion.Transforaminal microdiscectomy is a method that can be performed in any clinic with standard spinal surgery equipment. It does not require additional equipment or high costs.

Which is the Best Minimal Invasive Approach for the Treatment of Spontaneous Pneumothorax? Uniport, Two, or Three Ports: A Prospective Randomized Trail

2018 ◽  
Vol 66 (07) ◽  
pp. 589-594 ◽  
Author(s):  
Celalettin Kocaturk ◽  
Hasan Akin ◽  
Sertan Erdogan ◽  
Salih Bilen ◽  
Kemal Karapinar ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Standard Treatment ◽  
Thoracoscopic Surgery ◽  
Operation Time ◽  
Treatment Method ◽  
Minimal Invasive ◽  
Invasive Approach ◽  
Pain Scores ◽  
Minimal Invasive Approach ◽  
Video Assisted Thoracoscopic Surgery

Objective Video-assisted thoracoscopic surgery (VATS) has become the standard treatment method for primary spontaneous pneumothorax. Concerns about lesser pain and better cosmesis led to the evolution of uniportal access. This study prospectively compared the results of the uniportal, two-port, and three-port thoracoscopic surgery. Material and Methods One hundred and thirty-five patients were randomized into three groups according to the port numbers. The groups were compared regarding the operation time, hospital stay, amount of drainage, area of pleurectomy, complications, recurrences, and pain scores. Results Except for the amount of drainage (p = 0.03), no factors were found to be statistically significant. The overall recurrence rate was 5%. Although the first and second week pain scores were not statistically significant, the single-incision group patients had significantly less pain at 4, 24, and 72 hours (p < 0.05). Conclusion The study indicated that uniportal VATS approach is less painful and has better cosmetic results, besides it is as efficient as two- or three-port VATS approach.

A New Minimal Approach in Cochlear Implant Surgery: The Colombian Experience

2005 ◽  
Vol 133 (1) ◽  
pp. 147-149 ◽  
Author(s):  
Jorge E. Almario ◽  
Jose G. Lora ◽  
Jose A. Prieto
Keyword(s):  
Cochlear Implant ◽  
Surgical Approach ◽  
Minimal Invasive ◽  
Surgical Trauma ◽  
Invasive Approach ◽  
Implant Surgery ◽  
Minimal Invasive Approach ◽  
Cochlear Implant Surgery ◽  
The Mean ◽  
Age Range

OBJECTIVES: To implement a minimal invasive approach in cochlear implant surgery for children and adults. In order to decrease surgical complications and morbidity with the surgery. SUBJECTS AND METHODS: During a 1-year period, 12 consecutive patients (5 female and 7 male; age range, 1.5 to 78 years; mean age, 14.5 years), who had cochlear implantation (1 Nucleus and 11 Clarion) through a new surgical approach, were prospectively evaluated. RESULTS: The surgical approach was accomplished in all the patients with no major complications. The mean surgical time was 3.2 hours and the mean time between surgery and process of programming was 2.7 weeks. CONCLUSION: The surgical trauma and postoperatory edema was decreased and allowed programming of the implant in a shorter period of time.

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