
20 years of MIS
Scientific studies confirm that after 20 years of minimally invasive surgery (MIS) most of these operations have advantages over the equivalent, conventional surgical procedures.

Scientific studies confirm that after 20 years of minimally invasive surgery (MIS) most of these operations have advantages over the equivalent, conventional surgical procedures.

The 125th Congress of the German Society of Surgery and the annual Congress of the German Society of Visceral Surgery (DVGC) in late April, examined the facts behind evidence-based medicine (EbM) under the banner Surgical Medicine - from Empiricism to Evidence, and also evaluated current opportunities in hospitals, science and research.
The clinical center of the university of Mainz, Germany, reported the first successful use of a newly developed mobile heart-lung support system with a patient suffering from life-threatening pulmonary embolism. "Lifebridge", a highly automated system, was connected via the inguinal vessels right after the embolism had occurred and immediately took over the functions of lung and heart, supplying…

In recent years, intra-operative 3-D C-arm imaging has revolutionised orthopaedics and trauma surgery. In particular using the images created during an operation, C-arms with 3-D capability can produce 3-D views of a quality effectively on a par with those of a CT scan.
Rotational artherectomy - Around 33,000 patients are hospitalised annually due to myocardial infarction, but only five percent actually die, thanks to the various state-of-the-art treatments mastered by Czech physicians.

Uterine fibroids are the most common form of benign pelvic tumor, with about 30-50% of women between the ages of 35-45 years reporting them. Although many women are asymptomatic, those who experience the symptoms of bladder pressure, frequent and very heavy menstrual periods, and uterine pain, have a reduced quality of life.

Dr Hiroyasu Yano reports on the effective use of tomosynthesis in orthopaedic surgery.

As part of a research and development project, doctors at the University Hospital Magdeburg, Germany, are treating oncology patients with local minimally invasive surgery (MIS) which, for the first time, can be carried out under radiological image control using high-field magnetic resonance imaging (MRI). The system offers excellent image quality under extremely favourable, radiation-free…

According to a study published by Cancer Research UK scientists the survival rates of bladder cancer patients treated with radiotherapy are the same as those of patients undergoing radical cystectomy. The researchers investigated the medical records of 169 patients with invasive bladder cancer that were treated in Leeds between 1996 and 2000.

As reported in the January issue of Hepatology, MRI imagery is emerging as a non-invasive way to determine the existence and extent of hepatic fibrosis. It could eventually help the development of pharmacologic strategies to combat the condition.
The second successful hemicorporectomy has been done several months ago by Frantisek Antos and his surgical team from Faculty hospital Bulovka.

Minimally invasive endoscopic stent procedures can reduce the hospital stay of patients suffering from colorectal cancer. Stenting may also reduce the future risk of surgery, reports colorectal surgeon Eric M. Haas MD, of Colorectal Surgery Associates in Houston, USA.
Accuracy and precision are of the utmost importance in spinal surgery. At ComPaMED 2007, Micro Precision Systems AG (MPS) presented its SpineAssist - a bone-mounted system that accurately guides the surgeon when placing implants destined to stabilize spinal fusions in open and especially in minimally invasive surgery (MIS).
There are 12 categories for endoscopes or endoscopy products at MEDICA, as hundreds of firms exhibit the necessary materials or equipment for this expanding surgical field.

In 1996, NDS Surgical Imaging developed and launched the first Digital Signal Processing (DSP) technologies for Minimally Invasive Surgery (MIS) viewing applications.
Opening up new dimensions in ergonomics and mobility — in close cooperation with leading neurosurgeons, Leica designed a new swivel arm for its M525 OH4 surgical microscope that offers 36% more reach than comparable instruments.

By Dr Sebastian Radmer, of the orthopaedics and rheumatic surgery department at Immanuel Hospital, Berlin

Surgery in the lower pelvic region often involves injury to or severing of nerve tissue. As in chronic diseases of the nervous system, the result can be pain, sensory disturbances or loss of function. Up to now the poor view of the nerves, partially formed of fine interwoven networks, has been one of the major problems – exacerbated by the strict division of skills between neurologists and…

By Paolo Montuschi MD, of the Department of Pharmacology, Faculty of Medicine, Catholic University of the Sacred Heart, Rome, Italy.

Otologics' Carina could improve the quality of life for patients suffering from hearing loss. The fully implantable hearing device uses a transducer to move the middle ear bones - much like the eardrum causes the middle ear bones to vibrate in response to sound wave. Carina implantation surgery takes about three hours and is an easy procedure with low surgical risks. (The whole article is only…

Endovascular therapy of diseases of the brain-supplying blood vessels has recently sparked new interest. Hundreds of these minimally invasive and often operation-substituting interventions are now being performed annually at neuroradiological centers. The most impressive results in the treatment of intracranial aneurysms are achieved using coil embolization. Endovascular therapy has been lound to…

Toshiba has developed robotic forceps for use in laparoscopic surgery — a type of minimally invasive surgery that contributes to the patient's quality of life. By using the robotic forceps, the surgeon can lay sutures from any direction without difficulty.

Arteriosclerosis is well known as a vascular disease and cardiovascular risk factor. In its generalised form it affects not only the peripheral vessels (pelvis, legs) but also the coronary vessels and the carotid arteries. Arteriosclerosis is primarily a manifestation of advancing age, hence it is often accompanied by other diseases of the lungs and the heart as well as by metabolic diseases…

Professor Martin Raithel MD* works alongside medical devices manufacturer Bowa on the use of argon plasma coagulation in endoscopy. "The argon unit, in conjunction with the generators of the Bowa ARC range, is working very reliably in different disciplines", he says. "It is opening up new methods in flexible endoscopy with argon-assisted electrosurgery due to its outstanding…

Modern imaging modalities are increasingly playing a role in planning therapy for aortic diseases and in follow-up exams after surgery or endovascular intervention. The methods employed for minimally invasive endovascular therapy have been continually improved in recent years and are now being used by vascular surgeons or radiologists to treat thoracic, thoracoabdominal and abdominal aortic…