A Minimally Invasive Approach to the Lumbar Neural Foramen and Extraforaminal Compartment: Modified Surgical Technique

Spine surgery has seen parallel interest and development in the areas of motion preservation and minimally invasive surgery. Posterior microendoscopic laminoforaminotomy (MELF) allows for neural decompression while maintaining motion via a minimally invasive approach. This technique shares the advantage of maintenance of motion with arthroplasty, but without the need for instrumentation. Therefore, the procedure is motion preserving, minimally invasive and cost-effective. The ideal indications for posterior MELF include unilateral radiculopathy secondary to “hard disc” or spondylosis, as well as soft disc herniations. The authors present a modified surgical technique for posterior MELF as well as a case study illustrating its synergy with anterior arthroplasty.

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Minimally Invasive Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000421 ◽

2017 ◽

Vol 12 (6) ◽

pp. 489-492 ◽

Cited By ~ 6

Author(s):

Farah N. Musharbash ◽

Matthew R. Schill ◽

Matthew C. Henn ◽

Ralph J. Damiano

Keyword(s):

Surgical Technique ◽

Minimally Invasive ◽

Hypertrophic Obstructive Cardiomyopathy ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Septal Myectomy ◽

Patient Preparation ◽

Clinical Considerations

Surgical septal myectomy is the treatment of choice for patients with symptomatic hypertrophic obstructive cardiomyopathy refractory to medications. This report describes our minimally invasive approach for performing a septal myectomy via a ministernotomy that has been used at our institution for more than a decade. In particular, patient preparation, surgical technique, and clinical considerations are highlighted. Performed properly, this minimally invasive technique is a feasible and effective approach in our experience.

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Novel Surgical Technique in Active Bone Conduction: Minimally Invasive Approach to Fully Implantable Osseointegrated Implant

Otolaryngology ◽

10.1177/01945998211044408 ◽

2021 ◽

pp. 019459982110444

Author(s):

Tiffany Peng Hwa ◽

Garrett Locketz ◽

Michael J. Ruckenstein

Keyword(s):

Hearing Loss ◽

Postoperative Complications ◽

Surgical Technique ◽

Minimally Invasive ◽

Operative Time ◽

Bone Conduction ◽

Sound Field ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Bone Conduction Implant

We report our experience using a novel minimally invasive surgical technique for implantation of a fully implantable active bone conduction implant. This was a retrospective review of 16 adults, including 10 women and 6 men. The mean age was 54 years. Hearing loss profiles included 8 with mixed hearing loss, 5 with conductive hearing loss, and 3 with single-sided deafness. Nine patients underwent placement through the standard approach and 7 with the minimally invasive approach. There were no postoperative complications at a mean follow-up of 6.5 months (SD, 4; range, 1.5-12), and all patients received audiologic benefit with objective improvement in sound-field thresholds upon activation. Mean operative time was shorter with the minimally invasive approach (64 vs 41 minutes, P = .01). The fully implantable bone-anchored auditory implant can be effectively placed via a minimally invasive incision, with potential benefits of decreased operative time, low risk for intra- and postoperative complications, and rapid healing.

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A Novel Minimally Invasive Approach to the Middle Cranial Fossa: Surgical Technique and Clinical Outcomes

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0037-1600679 ◽

2017 ◽

Vol 78 (S 01) ◽

pp. S1-S156

Author(s):

Ruwan Kiringoda ◽

Osama Tarabichi ◽

Elliott Kozin ◽

Daniel Lee

Keyword(s):

Surgical Technique ◽

Minimally Invasive ◽

Clinical Outcomes ◽

Middle Cranial Fossa ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Cranial Fossa

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A novel press-fit minimally-invasive symphysiodesis technique

Journal of Experimental Orthopaedics ◽

10.1186/s40634-020-00284-0 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Sascha J. Hopp ◽

Antonius Pizanis ◽

Jeremy Briem ◽

Jill Hahner ◽

Laura Mettelsiefen ◽

...

Keyword(s):

Surgical Technique ◽

Minimally Invasive ◽

Pubic Symphysis ◽

Radiological Findings ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Press Fit ◽

Minimally Invasive Surgical ◽

Reduced Mobility ◽

Extensive Surgery

Abstract Objective Instability of the pubic symphysis often results in a poor outcome and reduced mobility of the patient. In some cases, an arthrodesis of the pubic symphysis is required. Until today, there is no data published how many of these procedures are performed annually and there is also no data about the outcome after this extensive surgery. Methods We developed a novel surgical technique to address the arthrodesis of the pubic symphysis in a minimally invasive approach. Therefore, we used for this purpose modified instruments and performed the transplantation of a cylindrical bone substitute into the pubic symphysis, without an extensive approach or dissecting the anterior or posterior symphyseal ligaments. Results Using this novel technique, a minimally invasive symphysiodesis was achieved in radiological findings, after the procedure. Conclusion Thus, this actually minimally invasive surgical technique seems to be a promising advancement for the arthrodesis of the pubic symphysis.

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