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Digital 3D exoscope is an effective tool for the surgery of falx and parasagittal meningiomas.
Acta Neurochir (Wien)
January 2025
Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, P.O. Box 266, FI- 00029, Helsinki, Finland.
Purpose: Digital 3D exoscopes are promising tools for microneurosurgery. The results of exoscope-assisted resection of intracranial meningiomas have only been addressed in few case reports. We retrospectively compared the results of exoscope and microscope-assisted surgery of falx and parasagittal meningiomas.
View Article and Find Full Text PDFNon-cadaveric spine surgery simulator training in neurosurgical residency.
N Am Spine Soc J
December 2024
Department of Neurosurgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Background: Spine surgical training faces increasing challenges due to restricted working hours and greater sub specialization. Modern simulators offer a promising approach to teaching both simple and complex spinal procedures. This study evaluated the acceptance and efficacy of spine simulator training using a lumbar herniated disc model tested by 16 neurosurgical residents (PGY-1-6), and compared 3D and 2D teaching methods.
View Article and Find Full Text PDFErgonomic Considerations in Robotic-assisted Microsurgery.
J Craniofac Surg
January 2025
Department for Plastic, Hand, and Reconstructive Surgery, BG Trauma Center Ludwigshafen, and Department of Plastic Surgery, University of Heidelberg, Ludwigshafen Germany.
Objective: Microsurgery necessitates precision and skill, with conventional methods often leading to surgeon discomfort due to prolonged static postures. The introduction of robot-assisted microsurgery using the Symani surgical system and a three-dimensional exoscope aims to enhance surgical precision while mitigating these ergonomic issues.
Methods: This prospective, single-center clinical study involved 50 preclinical training sessions and 87 robot-assisted microsurgical procedures at the authors' institution, covering a wide array of interventions from free flap reconstructions to nerve and lymphatic surgeries.
Exoscope-assisted spine surgery: Current applications and future directions-A short review.
World Neurosurg X
January 2025
Faculty of Medicine, Sumy State University, Sumy, Ukraine.
Spine surgery is a critical field that seeks to alleviate pain and restore function in patients with various spinal pathologies. Over the years, spine surgery has seen advancements such as minimally invasive techniques with operative microscopes and robotic surgeries. These techniques, however, demand better visualisation during the procedure.
View Article and Find Full Text PDFMinimally invasive exoscope-assisted coccygectomy: A novel approach for chronic refractory coccydynia.
World Neurosurg X
January 2025
Department of Neurological Surgery, Indiana University School of Medicine, 355 W 16th St, GH #5100, Indianapolis, IN, 46202, USA.
Background: This technical note presents a novel minimally invasive exoscope assisted coccygectomy to treat chronic refractory coccydynia. Traditional treatments often fail to provide adequate relief for this debilitating condition, prompting the need to explore surgical approaches.
Case Description: A 40-year-old female patient with persistent pain unresponsive to conservative treatments underwent this advanced procedure.
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