Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100202 |
Resumo: | ABSTRACT Objective To describe the technical specificities and feasibility of simulation of minimally invasive spine surgery in live pigs, as well as similarities and differences in comparison to surgery in humans. Methods A total of 22 Large White class swine models, weighing between 60 and 80kg, were submitted to surgical simulations, performed during theoretical-practical courses for training surgical techniques (microsurgical and endoscopic lumbar decompression; percutaneous pedicular instrumentation; lateral access to the thoracic spine, and anterior and retroperitoneal to the lumbar spine, and management of complications) by 86 spine surgeons. For each surgical technique, porcine anatomy (similarities and differences in relation to human anatomy), access route, and dimensions of the instruments and implants used were evaluated. Thus, the authors describe the feasibility of each operative simulation, as well as suggestions to optimize training. Study results are descriptive, with figures and drawings. Results Neural decompression surgeries (microsurgeries and endoscopic) and pedicular instrumentation presented higher similarities to surgery on humans. On the other hand, intradiscal procedures had limitations due to the narrow disc space in swines. We were able to simulate situations of surgical trauma in surgical complication scenarios, such as cerebrospinal fluid fistulas and excessive bleeding, with comparable realism to surgery on humans. Conclusion A porcine model for simulation of minimally invasive spinal surgical techniques had similarities with surgery on humans, and is therefore feasible for surgeon training. |
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Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitationsSimulation trainingModels, animalOrthopedic proceduresMicrosurgerySpine/surgeryDecompression, surgicalMinimally invasive surgical proceduresSwineABSTRACT Objective To describe the technical specificities and feasibility of simulation of minimally invasive spine surgery in live pigs, as well as similarities and differences in comparison to surgery in humans. Methods A total of 22 Large White class swine models, weighing between 60 and 80kg, were submitted to surgical simulations, performed during theoretical-practical courses for training surgical techniques (microsurgical and endoscopic lumbar decompression; percutaneous pedicular instrumentation; lateral access to the thoracic spine, and anterior and retroperitoneal to the lumbar spine, and management of complications) by 86 spine surgeons. For each surgical technique, porcine anatomy (similarities and differences in relation to human anatomy), access route, and dimensions of the instruments and implants used were evaluated. Thus, the authors describe the feasibility of each operative simulation, as well as suggestions to optimize training. Study results are descriptive, with figures and drawings. Results Neural decompression surgeries (microsurgeries and endoscopic) and pedicular instrumentation presented higher similarities to surgery on humans. On the other hand, intradiscal procedures had limitations due to the narrow disc space in swines. We were able to simulate situations of surgical trauma in surgical complication scenarios, such as cerebrospinal fluid fistulas and excessive bleeding, with comparable realism to surgery on humans. Conclusion A porcine model for simulation of minimally invasive spinal surgical techniques had similarities with surgery on humans, and is therefore feasible for surgeon training.Instituto Israelita de Ensino e Pesquisa Albert Einstein2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100202einstein (São Paulo) v.20 2022reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2022ao6318info:eu-repo/semantics/openAccessGotfryd,Alberto OfenhejmPaula,Fábio Chaud deSauma,Marcel LobatoIutaka,Alexandre SadaoRodrigues,Luciano Miller ReisMeyer,Guilherme Pereira CorreaTeivelis,Marcelo PassosPoetscher,Arthur WernerDel Curto,DavidKang,Davi Wen WeiCintra,LucianaGregores,Guilherme BuzonLenza,MarioFerretti,Marioeng2022-02-14T00:00:00Zoai:scielo:S1679-45082022000100202Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2022-02-14T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
title |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
spellingShingle |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations Gotfryd,Alberto Ofenhejm Simulation training Models, animal Orthopedic procedures Microsurgery Spine/surgery Decompression, surgical Minimally invasive surgical procedures Swine |
title_short |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
title_full |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
title_fullStr |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
title_full_unstemmed |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
title_sort |
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations |
author |
Gotfryd,Alberto Ofenhejm |
author_facet |
Gotfryd,Alberto Ofenhejm Paula,Fábio Chaud de Sauma,Marcel Lobato Iutaka,Alexandre Sadao Rodrigues,Luciano Miller Reis Meyer,Guilherme Pereira Correa Teivelis,Marcelo Passos Poetscher,Arthur Werner Del Curto,David Kang,Davi Wen Wei Cintra,Luciana Gregores,Guilherme Buzon Lenza,Mario Ferretti,Mario |
author_role |
author |
author2 |
Paula,Fábio Chaud de Sauma,Marcel Lobato Iutaka,Alexandre Sadao Rodrigues,Luciano Miller Reis Meyer,Guilherme Pereira Correa Teivelis,Marcelo Passos Poetscher,Arthur Werner Del Curto,David Kang,Davi Wen Wei Cintra,Luciana Gregores,Guilherme Buzon Lenza,Mario Ferretti,Mario |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Gotfryd,Alberto Ofenhejm Paula,Fábio Chaud de Sauma,Marcel Lobato Iutaka,Alexandre Sadao Rodrigues,Luciano Miller Reis Meyer,Guilherme Pereira Correa Teivelis,Marcelo Passos Poetscher,Arthur Werner Del Curto,David Kang,Davi Wen Wei Cintra,Luciana Gregores,Guilherme Buzon Lenza,Mario Ferretti,Mario |
dc.subject.por.fl_str_mv |
Simulation training Models, animal Orthopedic procedures Microsurgery Spine/surgery Decompression, surgical Minimally invasive surgical procedures Swine |
topic |
Simulation training Models, animal Orthopedic procedures Microsurgery Spine/surgery Decompression, surgical Minimally invasive surgical procedures Swine |
description |
ABSTRACT Objective To describe the technical specificities and feasibility of simulation of minimally invasive spine surgery in live pigs, as well as similarities and differences in comparison to surgery in humans. Methods A total of 22 Large White class swine models, weighing between 60 and 80kg, were submitted to surgical simulations, performed during theoretical-practical courses for training surgical techniques (microsurgical and endoscopic lumbar decompression; percutaneous pedicular instrumentation; lateral access to the thoracic spine, and anterior and retroperitoneal to the lumbar spine, and management of complications) by 86 spine surgeons. For each surgical technique, porcine anatomy (similarities and differences in relation to human anatomy), access route, and dimensions of the instruments and implants used were evaluated. Thus, the authors describe the feasibility of each operative simulation, as well as suggestions to optimize training. Study results are descriptive, with figures and drawings. Results Neural decompression surgeries (microsurgeries and endoscopic) and pedicular instrumentation presented higher similarities to surgery on humans. On the other hand, intradiscal procedures had limitations due to the narrow disc space in swines. We were able to simulate situations of surgical trauma in surgical complication scenarios, such as cerebrospinal fluid fistulas and excessive bleeding, with comparable realism to surgery on humans. Conclusion A porcine model for simulation of minimally invasive spinal surgical techniques had similarities with surgery on humans, and is therefore feasible for surgeon training. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100202 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100202 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.31744/einstein_journal/2022ao6318 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.20 2022 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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