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Initial experience of 3-dimensional exoscope in decompression of massive lumbar disc herniation – Lumbar Fusion

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This article investigates the effect of using a three-dimensional (3D) exoscope for decompression of single-segment massive lumbar disc herniation (LDH). The study included 56 patients who underwent decompression assisted by a 3D exoscope, and various perioperative metrics, clinical outcomes, and complications were analyzed. The results showed that the use of a 3D exoscope significantly reduced decompression time, estimated blood loss, and postoperative length of stay. Furthermore, there were no complications reported during the procedures. At the 6-month follow-up, patients showed significant improvements in pain and functional disability scores. The article concludes that a 3D exoscope can provide a visually detailed and clear surgical field, enhancing the safety and effectiveness of decompression surgeries for single-segment massive LDH

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established treatment hospital on Harley Street UK

Published article

S: A 3D exoscope provides a visually detailed, deep and clear surgical field, which makes decompression safer and more effective and reduces short-term complications. A 3D exoscope may be a good assistance tool during decompression for single-segment massive LDH.

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BMC Surg. 2024 Jan 24;24(1):34. doi: 10.1186/s12893-024-02321-6.ABSTRACTOBJECTIVES: To investigate the effect of a three-dimensional (3D) exoscope for decompression of single-segment massive lumbar disc herniation (LDH).METHODS: The study included 56 consecutive patients with single segment massive LDH who underwent decompression assisted by a 3D exoscope from October 2019 to October 2022 at a university hospital. The,

BMC Surg. 2024 Jan 24;24(1):34. doi: 10.1186/s12893-024-02321-6.

ABSTRACT

OBJECTIVES: To investigate the effect of a three-dimensional (3D) exoscope for decompression of single-segment massive lumbar disc herniation (LDH).

METHODS: The study included 56 consecutive patients with single segment massive LDH who underwent decompression assisted by a 3D exoscope from October 2019 to October 2022 at a university hospital. The analysis was based on comparison of perioperative metrics including decompression time, estimated blood loss (EBL) during decompression and postoperative length of stay (PLS); clinical outcomes including assessment using the visual analogue scale (VAS) and the Oswestry disability index (ODI); and incidence of reoperation and complications.

RESULTS: The mean decompression time was 28.35 ± 8.93 min (lumbar interbody fusion (LIF)) and 15.50 ± 5.84 min (fenestration discectomy (LOVE surgery)), the mean EBL during decompression was 42.65 ± 12.42 ml (LIF) and 24.32 ± 8.61 ml (LOVE surgery), and the mean PLS was 4.56 ± 0.82 days (LIF) and 2.00 ± 0.65 days (LOVE surgery). There were no complications such as cerebrospinal fluid leakage, nerve root injury and epidural hematoma. All patients who underwent decompression assisted by a 3D exoscope were followed up for 6 months. At the last follow-up, the VAS and ODI scores were significantly improved from the preoperative period to the last follow-up (P < 0.05).

S: A 3D exoscope provides a visually detailed, deep and clear surgical field, which makes decompression safer and more effective and reduces short-term complications. A 3D exoscope may be a good assistance tool during decompression for single-segment massive LDH.

PMID:38267970 | DOI:10.1186/s12893-024-02321-6

The London Spine Unit : most established treatment hospital on Harley Street UK

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Initial experience of 3-dimensional exoscope in decompression of massive lumbar disc herniation

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BMC Surg. 2024 Jan 24;24(1):34. doi: 10.1186/s12893-024-02321-6.ABSTRACTOBJECTIVES: To investigate the effect of a three-dimensional (3D) exoscope for decompression of single-segment massive lumbar disc herniation (LDH).METHODS: The study included 56 consecutive patients with single segment massive LDH who underwent decompression assisted by a 3D exoscope from October 2019 to October 2022 at a university hospital. The

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