Our Summary

This research paper discusses the rapid development and evolution of minimally invasive surgery (MIS), specifically percutaneous surgery, which is performed through very small puncture holes instead of large incisions. The authors suggest that the term “percutaneous” should be used for these specific types of surgeries, while “MIS” should be reserved for procedures that are somewhere between percutaneous and open surgery.

They found that newer, third-generation techniques are effective and simpler than traditional open surgery methods. However, they also note that MIS has a significant learning curve, making it potentially challenging to replicate the results shown in existing data. This might be particularly relevant in the context of Hallux valgus, a foot condition commonly known as a bunion.

FAQs

  1. What is the difference between minimally invasive surgery and percutaneous surgery?
  2. What are third-generation techniques in minimally invasive surgery and how do they compare to open surgery procedures?
  3. Why is there a steep learning curve associated with minimally invasive surgery?

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 compared to traditional open surgery. Additionally, patients may experience less scarring and reduced risk of infection with minimally invasive procedures. It is important for patients to follow their doctor’s post-operative instructions closely to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those with conditions such as hallux valgus (bunions), carpal tunnel syndrome, herniated discs, gallstones, varicose veins, and certain types of cancer. These patients may benefit from the smaller incisions, reduced trauma to surrounding tissues, quicker recovery time, and reduced risk of complications associated with minimally invasive procedures. However, it is important for patients to consult with their healthcare provider to determine if they are a suitable candidate for minimally invasive surgery based on their specific condition and medical history.

Timeline

Before minimally invasive surgery:

  1. Patient consults with a physician to discuss treatment options for their condition.
  2. Patient undergoes diagnostic tests such as X-rays or MRIs to determine the extent of the condition.
  3. Patient is informed about the benefits and risks of minimally invasive surgery compared to traditional open surgery.
  4. Patient undergoes pre-operative preparations such as fasting and medication adjustments.
  5. Patient meets with the surgical team to discuss the procedure and address any concerns.

After minimally invasive surgery:

  1. Patient wakes up in the recovery room with minimal pain and scarring compared to traditional open surgery.
  2. Patient is monitored closely for any complications or side effects of the surgery.
  3. Patient is discharged from the hospital sooner than with open surgery and may be able to resume normal activities sooner.
  4. Patient follows post-operative care instructions provided by the surgical team to ensure proper healing.
  5. Patient follows up with the surgeon for post-operative appointments to monitor their progress and address any concerns.

What to Ask Your Doctor

  1. What specific minimally invasive surgery technique will be used for my procedure?
  2. What are the potential risks and complications associated with minimally invasive surgery compared to traditional open surgery?
  3. How long is the recovery time for minimally invasive surgery compared to open surgery?
  4. What are the success rates for minimally invasive surgery for my specific condition?
  5. How experienced are you in performing minimally invasive surgery for this procedure?
  6. What type of anesthesia will be used for the minimally invasive surgery?
  7. Will I need to stay in the hospital overnight after the minimally invasive surgery?
  8. How soon can I expect to return to normal activities after minimally invasive surgery?
  9. Are there any specific post-operative care instructions I should follow after minimally invasive surgery?
  10. How will my pain be managed after minimally invasive surgery?

Reference

Authors: Del Vecchio JJ, Ghioldi ME. Journal: Foot Ankle Clin. 2020 Mar;25(1):79-95. doi: 10.1016/j.fcl.2019.10.010. Epub 2019 Nov 30. PMID: 31997749