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Tag: Minimally Invasive

29 Feb 2024
Advances in minimally invasive orthopedic

Advances in Minimally Invasive Orthopedic Surgeries

Introduction

Advances in medical technology and equipment have completely changed the way orthopedic surgeries are now performed. Minimally invasive surgeries have now replaced the traditional open surgeries that were performed earlier using larger incisions and having prolonged recovery periods.

In recent years, minimally invasive surgeries have helped orthopedic surgeons to perform difficult procedures using smaller incisions with reduced complications and quicker recovery times.

In this article, we will be discussing in detail the different advances made in minimally invasive orthopedic surgeries and the benefits of these procedures.

What is Minimally Invasive Orthopedic Surgery?

A minimally invasive orthopedic surgery is a type of surgical procedure involving the use of small incisions, specialized tools, and a camera to perform surgery for correcting or treating a bone or joint deformity such that there is minimal or no damage to the surrounding tissues.

Advances in Minimally Invasive Orthopedic Surgeries

Orthopedic surgery has shown many advancements over the last few years, with minimally invasive surgery being the most important advancement that has helped in improving treatment results, decreasing recovery period, and reducing surgical risks. The most common advancements in orthopedic surgeries are as follows: 

  • Arthroscopic surgery: This is a minimally invasive type of surgery that involves the insertion of cameras and instruments through small incisions made by the surgeon to view and treat joint problems with precision. It is used to diagnose and treat conditions like arthritis, loose foreign bodies, and torn cartilage. Further advancements in this arthroscopy surgery include the following:
  • Computer-assisted surgery: This procedure involves the use of a computer to create a three-dimensional model of the patient’s treatment area and using a computer-guided device to carry out the procedure accurately.
  • Robotic-assisted surgery: This type of surgery is performed using a robotic arm that is operated by the orthopedic surgeon through a joystick by viewing the operation site through the video screen that is attached to the camera inserted inside the patient. The use of a robotic arm makes the procedure more accurate and can help in treating complex cases like joint replacement surgeries and spine surgeries. 
  • 3D printing: Orthopedic surgeons can now make customized surgical guides and joint implants ensuring the perfect alignment and fit for a particular patient. This advanced technology helps in many types of complex cases like limb or pelvic reconstructions, where standardized implants may not work. 
  • Improved anesthesia techniques: Advanced anesthesia techniques like epidurals and nerve blocks (regional anesthesia methods) help in pain control with minimal side effects. This ensures a shorter hospital stay and quicker mobilization following surgery. 
  • Navigation systems: Computer-assisted navigation helps in improving the placement and alignment of implants in case of hip, knee, or spine surgery. This decreases the risk of developing complications and the need to undergo revision surgery. 
  • Bone augmentation: Certain biological methods like stem cell therapy, platelet-rich plasma (PRP), and the use of growth factors used in orthopedic surgeries help in stimulating tissue regeneration and improving the natural healing process and recovery. 
  • Injectable bone cement: Bone cement helps in securing joint implants or stabilization of bone fractures. Injectable bone cements are now available with improved properties like better adhesion, quick setting, improved stability, improved long-term results, and decreased risk of loosening of implants. 
  • Patient rehabilitation: Each patient is prepared mentally and physically before undergoing orthopedic surgery. This involves patient-specific exercises and education to improve the patient’s health and fitness, leading to improved treatment results and a quicker recovery. 
  • Remote monitoring: Post-surgery care by follow-up appointments and consultations via telehealth or video calling from the comfort of the patient’s home helps in checking the recovery process without the need for in-person doctor visits.

Benefits of Minimally Invasive Orthopedic Surgeries

Minimally invasive orthopedic surgeries offer several benefits to the patient compared to traditional open surgery. The advantages of a minimally invasive surgery are as follows:

  • Reduced postoperative pain: Since a minimally invasive surgery involves making smaller incisions and less damage to the surrounding healthy tissues, patients usually have less pain during, as well as after the surgery.
  • Smaller incisions and less scarring: The procedure requires only tiny incisions. This ensures a quicker recovery and less scarring.
  • Quicker recovery time: Since a minimally invasive surgery causes less tissue damage, patients can usually resume their daily activities quickly compared to patients undergoing open surgery.
  • Reduced hospital stay: Patients who undergo a minimally invasive surgery usually need a shorter hospital stay compared to patients who undergo traditional open surgery.
  • Decreased risk of complications: There is a lesser chance of developing complications like excessive bleeding, infection, or damage to the surrounding tissues when undergoing a minimally invasive surgery.

Conclusion

Minimally invasive orthopedic surgeries are continuously undergoing advancements with regard to technologies and equipment being used for the procedures. These advances help in improving the patient’s treatment experience and also make orthopedic surgeries more effective and safer with good long-term results. As medical technologies continue to see growth, we can expect more breakthroughs in the years to come for patients suffering from bone and joint problems.

 

22 Sep 2023
Five advantages of minimmaly invasive spine surgery

Five Advantages of Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery or MISS is a surgical approach that aims at treating a wide variety of spinal conditions without impacting the surrounding muscles, tissues, and cells negatively. Compared with open surgery, minimally invasive spine surgery offers many benefits ranging from faster return to day-to-day activities and reduced hospital stay.

Here are the five primary benefits of minimally invasive spine surgery (MISS):

1. Faster Recovery Time

The best and the most important advantage of minimally invasive spine surgery is that it doesn’t take months to recover from.

Unlike traditional open surgery, minimally invasive spine surgery does not involve making large incisions or openings in your body tissues for treatment. Moreover, the tissues surrounding the site of surgery also don’t undergo much disruption or damage because of the utilisation of smaller incisions or cuts in MISS.

Since larger incisions increase blood loss and give more trauma to the surrounding tissues, they not only cause a higher extent of pain but also take more time to heal and recover. Therefore, unlike open surgeries, minimally invasive spine surgery is done by making only small cuts.

As a result, due to lower wound formation, the intensity and the duration of pain decrease. Hence, because of decreased tissue damage and minimal trauma to the other body parts such as muscles, the overall time required to complete the surgery along with the duration of recovery decreases significantly.

Most patients who are treated using minimally invasive spine surgery get a discharge on the day of the operation itself. Faster discharge time means minimised hospital stay and a quicker start to your recovery period.

2. Less Painful Process

In minimally invasive spine surgery, the surgeon makes small incisions or cuts into your tissues and muscles to access and view the affected area for treatment.

The primary goal is to have a closer look and monitor the site of operation using specialized instruments consisting of microscopic video cameras. These cameras pass easily through the organs and tissues that are located in the deeper regions of your body such as—

Nerves of your spine
Vertebrae
Spinal discs

MISS is performed using highly advanced tools and techniques that enable access to your affected tissues without causing much disturbance to the surrounding areas. These techniques are designed to invade your tissues minimally ultimately decreasing the damage that your nerves and muscles undergo.

Henceforth, since the muscles and nerves don’t have to go through a high degree of disruption, the pain in them is minimized. Less pain means reduced need for post-operative care and pain reliever medications.

As a result, the process is less painful and has a faster recovery time in comparison with traditional open spine surgeries.

3. Reduced Risk of Complications

Common complications associated with the traditional open spine surgeries include:

Adverse effects of anaesthesia that might result in heart stroke, brain damage, heart attack etc.

Excessive bleeding due to large cuts

Surgeries that are performed on the pelvis, calves and thighs may sometimes result in the formation of blood clots

Dural tears

Development of infections that cause pain and swelling at or near the site of operation

Minimally invasive surgery doesn’t expose a large surface of your muscles, nerves and tissues to the external environment consisting of contaminants and other chemical components used for treatment. So, the chances of the development of an infection at the incision site and the possibility of other adverse effects on the surrounding tissues are reduced.

Most importantly, since highly advanced imaging technology is utilized, precision is more due to better visualization. The enhanced precision contributes towards the elimination of the risk of complications associated with spine surgery.

4. Less Muscle Damage

In open surgery, in order to have access to the deeper tissues such as nerves, discs and vertebrae for operation, the surgeon needs to first remove the muscles that are located on their upper surface. Therefore, during the procedure, a lot of muscle damage happens before the actual surgery can take place.

The procedures used in minimally invasive spine surgery, in contrast, dilate (stretch and enlarge) these muscles instead of cutting and disrupting them. Hence, the maximum of your natural muscle structure is preserved giving you better muscle functionality and decreasing muscle weakness faced post-operation.

Overall, the level of muscle damage is much less in comparison with traditional open spine surgeries.

5. Better Cosmetic Outcomes

Small cuts generate less pain and heal faster. Apart from these, the visibility of scars caused by minimally invasive surgery is less and they tend to produce better cosmetic outcomes.

Particularly if the surgery has to be performed on the externally visible parts of your body, the presence of big and ugly scars that result from large incisions post-surgery can impact your self-esteem and decrease confidence.

Minimally invasive spine surgery helps you avoid the embarrassment of noticeable scarring and heal with confidence due to enhanced cosmetic results that cause much lesser scarring.