Articles: surgery.
-
IEEE Trans Vis Comput Graph · Sep 2005
Comparative StudyAdvanced virtual endoscopic pituitary surgery.
Endoscopy has recently been introduced to endonasal transsphenoidal pituitary surgery as a minimally invasive procedure for the removal of various kinds of pituitary tumors. To reduce morbidity and mortality with this new technique, the surgeon must be well-trained and well-prepared. ⋯ STEPS also assists experienced surgeons in planning a real endoscopic intervention by getting familiar with the individual patient anatomy, identifying landmarks, planning the approach, and deciding upon the ideal target position of the actual surgical activity. The application provides interactive visualization, navigation, and perception aids and the possibility of simulating the procedure, including haptic feedback and simulation of surgical instruments.
-
Clinical Trial Controlled Clinical Trial
[Prospective screw misplacement analysis after conventional and navigated pedicle screw implantation].
[corrected] The aim of this prospective study was (1) to evaluate the accuracy of pedicle screw placement using Computer - Assisted Orthopedic - Surgery (CAOS) in comparison to conventionelly image intensifier controlled pedicle screw instrumentation, (2) to compare our results with data from literature and (3) report our experiences with this technique. ⋯ Computer assisted surgery reduces significantly the misplacement rate of pedicle screws and remains for experienced spine surgeons an important support in the operative treatment of complex spinal deformities in future. Additionally it can be expected that Computer-Navigation will also spread out in the field of minimal-invasive spinal surgery, e.g. the kyphoplasty. The use of this technique supports beside the medical-technical knowledge an improved three-dimensional orientation in the education of spine surgeons.
-
Within the framework of the collaborative research centre "Information Technology in Medicine--Computer and Sensor-Aided Surgery" (SFB414) new methods for intraoperative computer assistance of surgical procedures are being developed. The developed tools will be controlled by an intraoperative host which provides interfaces to the electronic health record (EHR) and intraoperative computer assisted instruments. ⋯ Intraoperative systems currently under development are intraoperative augmented reality (AR) using a projector and via a microscope, a planning system for definition of complex trajectories and a surgical robot system. The developed systems are under clinical evaluation and showing promising results in their application.
-
A prospective case control study design was conducted. ⋯ While performing percutaneous vertebroplasty, the surgeon is exposed to a significant amount of radiation. Proper surgical technique and shielding devices to decrease potentially high morbidity are mandatory. Training in radiation protection should be an integral part of the education for all surgeons using minimally invasive radiologic-guided interventional techniques.
-
The role of anesthesia outside the operating room is rapidly expanding and evolving alongside with the advances in interventional neuroradiology. Increasingly complex diagnostic and therapeutic neuroradiological procedures are being performed on sicker patients. This review provides an overview of the principles of anesthetic management and summarizes recent advances in interventional neuroradiology. ⋯ Providing anesthesia in the interventional neuroradiology suite continues to be a challenge to the anesthesiologist. Understanding the anesthetic constraints and complexities and keeping abreast of the current developments in neuroradiology are crucial in ensuring the maximal benefits to and safety of patients.