Our Summary

This research paper discusses a study comparing the use of an operating microscope (OM) and an exoscope in surgical procedures. The OM is a tool that has been commonly used by surgeons to see tiny details more clearly during operations. The exoscope is a newer tool that offers similar benefits, but with additional advantages like better teaching possibilities and improved workflow in the operating room.

In this study, a group of senior neurosurgery students performed a specific type of spinal surgery on cadavers using both tools. Their work was then reviewed and graded by experienced spine surgeons, who didn’t know which tool was used for each procedure. The researchers also recorded the time it took for each procedure and any complications that occurred.

The results showed no significant difference in procedure time or complications between the two tools. However, those who used the exoscope reported feeling more comfortable and found it easier to use. They also felt that the exoscope had better teaching potential.

So, the conclusion is that the exoscope is a good alternative to the operating microscope. It offers the same benefits but with added advantages like more comfort for the surgeon and better teaching opportunities.

FAQs

  1. What is the difference between an operating microscope (OM) and an exoscope?
  2. What were the results of the study comparing the use of an OM and an exoscope in spinal surgery?
  3. Did the study find any benefits in using the exoscope over the OM?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about spinal surgery is to discuss with their surgeon the tools and technology that will be used during the procedure. Understanding the benefits and potential advantages of tools like an exoscope can help the patient feel more informed and confident in their surgical treatment. It’s important to have open communication with your healthcare team and ask any questions you may have about the procedure.

Suitable For

Patients who are typically recommended for spinal surgery are those who have severe back or neck pain that does not improve with conservative treatments such as physical therapy, medication, or injections. Other conditions that may warrant spinal surgery include herniated discs, spinal stenosis, spinal deformities (such as scoliosis), spinal fractures, and spinal tumors.

Before recommending surgery, healthcare providers will typically perform a thorough evaluation of the patient’s symptoms, medical history, and imaging studies (such as MRI or CT scans) to determine the underlying cause of the pain and assess the severity of the condition. They will also consider the patient’s overall health and any potential risks associated with surgery.

Ultimately, the decision to undergo spinal surgery is a personal one that should be made in collaboration with a healthcare provider. It is important to weigh the potential benefits of surgery in terms of pain relief and improved function against the risks and potential complications associated with the procedure.

Timeline

Before spinal surgery:

  1. Patient meets with their surgeon to discuss their condition, treatment options, and the risks and benefits of surgery.
  2. Preoperative testing, such as blood tests, imaging scans, and physical exams, are conducted to ensure the patient is a good candidate for surgery.
  3. The patient may undergo physical therapy or other treatments to prepare for surgery and improve their overall health.
  4. The patient is instructed on how to prepare for surgery, including fasting before the procedure and stopping certain medications.
  5. On the day of surgery, the patient is admitted to the hospital and undergoes preoperative procedures, such as anesthesia administration and positioning on the operating table.

After spinal surgery:

  1. The patient wakes up in the recovery room and is monitored closely for any complications.
  2. Pain management is provided to help the patient manage postoperative pain.
  3. Physical therapy and rehabilitation may be started to help the patient regain strength and mobility.
  4. The patient is discharged from the hospital once they are medically stable and able to care for themselves at home.
  5. Follow-up appointments with the surgeon are scheduled to monitor the patient’s progress and address any concerns or complications.
  6. The patient continues with physical therapy and rehabilitation to improve their recovery and long-term outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about spinal surgery include:

  1. What type of spinal surgery is recommended for my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. How long will the recovery process be and what can I expect during this time?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. What is the success rate of this type of surgery for patients with similar conditions?
  6. Are there any alternative treatment options to consider before opting for surgery?
  7. What experience does the surgeon have with this specific type of surgery?
  8. What type of tools or equipment will be used during the surgery, and how will they benefit the procedure?
  9. How will my pain be managed during and after the surgery?
  10. What follow-up appointments will be necessary after the surgery to monitor my progress?

Reference

Authors: Moisi MD, Hoang K, Tubbs RS, Page J, Fisahn C, Paulson D, Jeyamohan S, Delashaw J, Hanscom D, Oskouian RJ, Chapman J. Journal: World Neurosurg. 2017 Feb;98:273-277. doi: 10.1016/j.wneu.2016.11.003. Epub 2016 Nov 9. PMID: 27836702