Our Summary

This research paper discusses the development of minimally invasive surgery (MIS) over the past ten years. MIS techniques have evolved to involve less invasive procedures, known as percutaneous surgery. The latest innovations in this field have made it a trustworthy option for experienced surgeons. The use of weight-bearing CT scans (a type of imaging technology that allows doctors to see the body’s structures while the patient is standing or bearing weight) can be beneficial in planning and monitoring these types of surgeries. The paper specifically mentions the treatment of a condition called Hallux Valgus, which is a type of foot deformity, as an example of where these techniques can be applied.

FAQs

  1. What is minimally invasive surgery (MIS) and how has it evolved over the years?
  2. What is the role of weight-bearing computed tomographic scans in minimally invasive surgery?
  3. What are the different generations of minimally invasive surgery techniques and how do they differ from each other?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is that it typically results in less pain, smaller incisions, and faster recovery times compared to traditional open surgery. Additionally, patients may experience less scarring and lower risk of infection with minimally invasive procedures. It is important for patients to follow their doctor’s post-operative instructions carefully to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for minimally invasive surgery (MIS) include those with conditions such as hallux valgus (bunions), carpal tunnel syndrome, hernias, gallbladder disease, and certain types of cancer. MIS is often recommended for patients who are looking for a quicker recovery time, less scarring, and less pain compared to traditional open surgery. Additionally, patients who are considered high-risk for complications with traditional surgery, such as older adults or those with multiple medical conditions, may also be good candidates for MIS. Surgeons may use weight-bearing computed tomographic scans for planning and follow-up in order to ensure the best possible outcomes for their patients undergoing MIS procedures.

Timeline

Before minimally invasive surgery:

  1. Patient consults with a surgeon and undergoes a thorough evaluation to determine if they are a candidate for minimally invasive surgery.
  2. Patient may have imaging tests such as X-rays or MRI to assess the extent of the condition and aid in surgical planning.
  3. Patient receives pre-operative instructions and prepares for surgery, which may include fasting, stopping certain medications, and arranging for transportation to and from the hospital.

After minimally invasive surgery:

  1. Patient wakes up in the recovery room and is monitored by medical staff for a period of time before being discharged.
  2. Patient may experience some pain and discomfort in the days following surgery, which can be managed with pain medication.
  3. Patient follows post-operative instructions provided by the surgeon, which may include keeping the incision site clean, avoiding certain activities, and attending follow-up appointments.
  4. Patient gradually resumes normal activities and physical therapy as recommended by the surgeon to aid in recovery and rehabilitation.

What to Ask Your Doctor

  1. What are the potential benefits of minimally invasive surgery compared to traditional surgery for my condition?
  2. What are the potential risks or complications associated with minimally invasive surgery for my condition?
  3. How experienced are you in performing minimally invasive surgery for this specific procedure?
  4. What is the success rate of minimally invasive surgery for my condition?
  5. How long is the recovery time compared to traditional surgery?
  6. Will I have less scarring with minimally invasive surgery?
  7. Will I have less pain after the surgery with minimally invasive techniques?
  8. What type of anesthesia will be used for the minimally invasive surgery?
  9. Are there any specific pre-operative or post-operative instructions I should follow for minimally invasive surgery?
  10. Will I need any special imaging tests, such as a weight-bearing CT scan, before or after the minimally invasive surgery?

Reference

Authors: Maccario C, Indino C, Usuelli FG. Journal: Foot Ankle Clin. 2025 Jun;30(2):297-305. doi: 10.1016/j.fcl.2024.06.009. Epub 2024 Aug 1. PMID: 40348462