Our Summary

This research paper discusses the use of a new tool called the Synaptive Modus V exoscope in spinal and brain surgery. Traditional microscopes, while standard for these types of surgeries, can sometimes provide inadequate light for deep surgeries. To overcome this challenge, this new exoscope system was used in a trial for a two week period during eight different types of surgeries. The researchers found that the new system provided better image quality and was more comfortable for the surgeon to use compared to a traditional microscope. However, it had slightly less depth perception. The study concluded that this new system is safe for common spinal and brain surgeries, but suggested that intense training may be necessary before it is used clinically.

FAQs

  1. What is the Synaptive Modus V exoscope and how is it used in spinal and brain surgeries?
  2. How does the Synaptive Modus V exoscope compare to traditional microscopes in terms of image quality and comfort for the surgeon?
  3. What are the potential drawbacks of the Synaptive Modus V exoscope and what training is suggested before its clinical use?

Doctor’s Tip

A helpful tip a doctor might tell a patient about spinal surgery is to follow all pre-operative instructions given by your healthcare team, such as fasting before surgery and stopping certain medications. It is also important to discuss any concerns or questions you may have with your surgeon before the procedure. After surgery, make sure to follow all post-operative instructions carefully, including proper wound care, physical therapy, and avoiding any activities that may put strain on your spine. It is important to take care of yourself and follow your doctor’s recommendations to ensure a successful recovery.

Suitable For

Patients who are typically recommended for spinal surgery include those with severe back pain, spinal deformities (such as scoliosis), herniated discs, spinal stenosis, spinal fractures, spinal tumors, and degenerative disc disease. Additionally, patients who have not found relief from conservative treatments such as physical therapy, medications, and injections may be recommended for spinal surgery. It is important for patients to consult with a spine specialist to determine if surgery is the best course of treatment for their specific condition.

Timeline

Before spinal surgery:

  1. Consultation with a spine specialist to discuss treatment options
  2. Pre-operative testing, such as X-rays, MRIs, and blood work
  3. Pre-surgical preparation, including fasting and medication adjustments
  4. Anesthesia consultation to discuss options and potential risks
  5. Signing of informed consent form outlining risks and benefits of surgery

During spinal surgery:

  1. Patient is prepped and positioned on the operating table
  2. Anesthesia is administered to induce unconsciousness
  3. Surgeon makes incision and accesses the spine
  4. Surgery is performed to address the spinal issue, such as a herniated disc or spinal stenosis
  5. Surgical instruments and techniques are used to correct the problem
  6. Incision is closed and patient is moved to recovery room

After spinal surgery:

  1. Patient wakes up in recovery room and is monitored closely for any complications
  2. Pain management is administered to control discomfort
  3. Physical therapy may begin to aid in recovery and rehabilitation
  4. Patient is discharged from the hospital with post-operative instructions
  5. Follow-up appointments are scheduled to monitor progress and address any concerns
  6. Full recovery can take weeks to months, depending on the type of surgery and individual healing process.

What to Ask Your Doctor

  1. What specific type of spinal surgery do you recommend for me?

  2. What are the potential risks and complications associated with this surgery?

  3. How long is the recovery period and what can I expect during the recovery process?

  4. Will I need physical therapy or rehabilitation after the surgery?

  5. What are the success rates and long-term outcomes for this type of surgery?

  6. Are there any alternative treatments or less invasive procedures that I could consider?

  7. How experienced are you in performing this type of surgery?

  8. Will I need any additional imaging tests or consultations before the surgery?

  9. What type of anesthesia will be used during the surgery and what are the potential side effects?

  10. Can you explain the use of the Synaptive Modus V exoscope in my surgery and how it differs from a traditional microscope?

Reference

Authors: Muhammad S, Lehecka M, Niemelä M. Journal: Acta Neurochir (Wien). 2019 Oct;161(10):2175-2180. doi: 10.1007/s00701-019-03953-x. Epub 2019 May 22. PMID: 31119395