Most advanced tools to achieve your satisfaction Specialising in minimally invasive, image guided and robotic surgery
Why Minimally Invasive?
The ultimate goal of any surgery is to improve patient’s quality and even length of life by restoring normal anatomical relationships between bodily structures. Evolution of surgery and anaesthesiology allowed achieving this goal and successfully manage previously untreatable conditions. However, there is still a lot of space for improvement, in particular in the field of brain and spine surgery. For example, the long-term outcomes after operations on most invasive brain tumours or on severe degenerative spinal conditions still leave much to be desired. Studies investigating patient satisfaction after spine surgeries show that the rate of negative outcomes could be as high as 50%. Improvement of surgery results is not possible without further development of less invasive but more efficient operative techniques.
Minimally invasive procedures represent a logical evolution of surgical philosophy focussing on patient’s safety and satisfaction. This philosophy is based on three main principles:
– accurate identification of the problem;
– safe access to the pathological area with minimal injury to the surrounding tissues;
– effective but delicate repair of the problematic structures even if they are located deeply in the body.
Points of Difference
The term ‘minimally invasive surgery’ (MIS) is often used as a synonym to ‘keyhole surgery’ emphasising small size of skin incisions. In fact, there is a lot of work hidden underneath the small scar:
– MIS requires many years of surgical training and continuous professional education. Like any other field of medicine, it requires full dedication and a lot of responsibility.
– MIS relies on specially designed devices, retractors, sophisticated optical tools, illumination and surgical instruments allowing full control of the operative field through a microscope or endoscope.
– MIS involves detailed preoperative investigations and often employs computer-assisted image guidance and robotic technologies to achieve needed accuracy.
Robotic surgery employs state-of-the-art technology for the treatment of many spinal conditions including degenerative spinal disease, tumours and deformities. It allows the surgeon to use the images from a CT scan that is taken before surgery to create a virtual spine model for each individual patient. The scan is loaded into a computerized 3D planning system that allows surgeon to plan the surgical procedure with a high degree of accuracy before ever entering the operating room.
In the operating theatre, the surgeon uses robot to help guiding instruments, based on pre-operative planning. The robot is usually attached to the spine of the patient with 3 pins. It has the ability to bend and rotate in order to place its arm in accordance with the designed trajectory. This guidance helps working through very small incisions or when dealing with complex anatomy (spinal deformity or previous spine surgery).
Benefits and Outcomes
– MIS causes less operative trauma and blood loss, resulting in reduced post-operative pain and scarring.
– Faster recovery from surgery and less rehabilitation required.
– Reduced chances of post-surgical complications, e.g. infection and deep venous thrombosis.
– In spinal applications, minimally invasive techniques allow gentle retraction of the muscles instead of cutting through them. Sparing of muscles allows patient to start moving earlier, recover quicker and experience less pain after operation.
– MIS patients can return to normal activity and leave the hospital sooner.
– The microscope-assisted techniques provide a surgeon with better visualisation and magnification of the brain and spine during surgery. This translates into more precise and effective procedures.
– Patients are able to return to work and usual activities sooner.
– MIS can often be performed in difficult clinical scenarios when open surgery is deemed too risky, e.g. in elderly, obese or medically unfit patients.
– Better cosmetic results from smaller skin incisions.
– Diminished reliance on pain medications after surgery.