Surgery

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Article • Augmented reality in the OR

AR helps surgeons to see, feel and understand

X-ray vision, context-sensitive guidance, coordinator, training assistant and more: augmented reality (AR) has hit the OR. While still in its infancy AR does grow rapidly and has already shown enormous potential. University Professor Dr Rüdiger von Eisenhart-Rothe, Chair of Orthopaedics and Sports Orthopaedics at the Technical University Munich, explains the advantages of different AR…

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Article • Pre-, post- and interoperative

Wearable devices in the surgical environment

Wearable technology has become an important part of medicine, from tracking vital signs to disease diagnosis. In surgery, wearable technologies can now assist, augment, and provide a means of patient assessment before, during and after surgical procedures. Wearable technologies are applied before the patient even reaches the operating room, for example in prehabilitation, i.e. pre-treatment…

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Sponsored • Smart textiles

Elitac Wearables – NeuroShirt

The NeuroShirt, developed from Elitac Wearables in collaboration with the University Medical Centre Utrecht (NL), is a patent-pending smart shirt that helps guide neurosurgeons during complicated skull-base surgeries. It connects to the neuronavigation system and continuously indicates both the distance and direction of critical structures through haptic feedback (vibrations). ‘This way,’ the…

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Article • New tools for the OR

Promoting ‘robot readiness’ in surgery

Using surgical robotic systems in OR settings brings many benefits, but there are also challenges that must be overcome before implementing the systems into surgical routine. We spoke with Megan Rosengarten, president of Medtronic’s Surgical Robotics business, about the technology, as well as the company’s efforts to promote the spread of robot-assisted surgery across Europe.

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Article • Extended realities in the OR

‘XR is fusing surgical reality with medical images’

Leading medical XR experts gathered at Shift Medical to discuss developments on the use of immersive technologies in medicine. We interviewed Doctor Egidijus Pelanis of Oslo University Hospital, about applying extended realities in the operating room.

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Article • Neuro- and spine surgery

Perfection in the networked OR: robot, neuro-navigation and VR headsets

At their workplace, neurosurgeons often have to make compromises since most ORs were not designed with the specific needs of their discipline in mind. To address this issue the University Hospital in Essen, Germany, equipped an OR especially for neuro- and spine surgery. The aim is nothing less than revolutionizing the field with the help of digitalisation and cutting-edge technology.

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News • Virtual insights

World's first augmented reality neuromodulation spinal surgery

The first augmented reality (AR) spinal surgery in the world has taken place at the Norfolk and Norwich University Hospital (NNUH). Surgeons at NNUH utilised the latest video technology and augmented reality (AR) googles with the assistance of a neurosurgical colleague in Wales providing extra support with a complex spinal cord stimulation procedure. The NNUH is one of the biggest neuromodulation…

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Article • Mass spectrometry goes handheld

A pen to pin down the fringes of cancer

Mass spectrometry – a powerful tool for analysing the molecular composition of a tissue sample – is invaluable during cancer surgery. However, mass spectrometers are complex and unwieldy, and certainly a poor fit for an operating room (OR). To create a bridge between the lab and OR, Professor Livia S Eberlin, from Baylor College of Medicine, has developed a very special ‘pen’.

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Sponsored • Flexibility and freedom of movement

C-arm adds accuracy to cardiovascular interventions

Alongside the worldwide increase in longevity, inevitably with chronic health conditions rising, cardiovascular procedures and OR utilisation have surged. Thus the efficient and safe performance of surgeries is even more important. The intraoperative use of mobile C-arms increases accuracy, improving clinical outcomes, which can significantly reduce revision rates and thus overall healthcare…

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Sponsored • Surgical image and video management

OR becoming an integrated high-performance hub

Operating rooms are extremely complex, and the level of complexity is steadily increasing. This is reflected in the growing number of medical devices, on the one hand, and in the continuously increasing volume of data, on the other. Nowadays, surgical staff are confronted with a flood of highly specialised technology. The challenge is to create workplaces that are as uniform as possible and…

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Sponsored • OR equipment

A successful decade of operating theatre wall monitors

OPERION from Rein Medical has been an established byword for wall-integrated monitors and workstations for the operating theatre for ten years. Now in their 3rd generation, they stand for hygienic, highly compatible, reliable and intuitive monitor and workstation systems. The extensive product range in sizes from 21.5" to 75" means that perfect hardware packages covering any requirement…

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News • Unprecedented improvements

Gene therapy 'reprograms' cells to reverse AADC deficiency

A novel method of gene therapy is helping children born with a rare genetic disorder called AADC deficiency that causes severe physical and developmental disabilities. The study, led by researchers at The Ohio State University Wexner Medical Center and The Ohio State University College of Medicine, offers new hope to those living with incurable genetic and neurodegenerative diseases.

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News • Mammacarcinoma study

Breast cancer: finishing treatment soon after diagnosis increases survival

Research from Cleveland Clinic in the U.S. and Cleveland Clinic Abu Dhabi in the U.A.E. has found a decrease in patient survival rates when treatment options – surgery, chemotherapy and radiation – are completed more than 38 weeks from the time of diagnosis. The observational study, which included more than 28,000 breast cancer patients registered in the American National Cancer Database, is…

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Article • Women in surgery

Skull & bones? Female specialists fear not

Currently, 25% of the junior physicians in Germany are female – which in international comparison puts the country in one of the top spots. However, only 5% of head of department positions in German university hospitals are held by women and not even 10% of orthopaedics professors are women.

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News • Renal disease

New design improves dialysis

Interdisciplinary team from Washington University School of Medicine in St. Louis and the university’s McKelvey School of Engineering finds better way to design clot-prone grafts currently used for dialysis.

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Sponsored • Robotics in the OR

Increased safety for patients und less stress for the surgeons

In early 2020, Landeskrankenhaus (LKH – regional public hospital) Feldkirch in Austria procured two robotics systems. Dr Burghard Abendstein, head of department of Ob/Gyn, welcomes this – as he says – rather unusual but future-oriented decision of the hospital management and has been using the Asensus Senhance surgical system for laparoscopic procedures in gynaecology.

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Article • Surgical robotics

Elevating outcomes of surgery

What’s in a name? In the case of Asensus Surgical, Inc., previously known as TransEnterix, Inc., the recent rebranding doubles as a mission statement for the manufacturer of surgical robotics systems: The initial ‘A’ stands for artificial intelligence and augmented surgery, reflecting the company’s emphasis on new technologies designed to enhance the operator’s cognition (‘sensus’…

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Article • Covid-19 collaterals

Coronavirus impacts heart surgery across Europe

Cardiac surgery across Europe is being set back as a result of the ongoing coronavirus. Operations are being postponed, treatment delayed, and critical care staff have been redeployed to cope with the impact of the Covid-19 epidemic on health services. However, gaining a clear picture of the Europe-wide situation, and the long-term effects coronavirus will have on heart surgery, is a challenge…

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Article • Gender and medical career

Neurosurgeon, wife and mother of three: breaking social bias against women

Running a neurosurgery department when you’re a woman is rare enough, but if on top of that you’re a mother of three, you’re an exception. You’re also living proof that it is possible to combine a demanding profession with the challenging task of bearing and raising children. A leading Spanish neurosurgeon shared her experience to raise awareness during the recent EANS meeting.

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