exoscope

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exoscope [2022/01/15 13:05] administradorexoscope [2022/08/10 15:39] (current) administrador
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 +====== Exoscope ======
 +
 +Neurosurgical operating rooms are equipped with microscopes in order to provide a good standard of care. Nevertheless, in developing countries, microscopes are not always available. During a short period in a western Africa hospital, we adapted our smartphones as a valid alternative to the microscope.
 +
 +Using a shaped tin can, a smartphone cover, and a rod fixed to the bed, we could make a support for a smartphone creating a simple "homemade" exoscope, which allowed us to have magnification and light in the surgical field.
 +
 +Among others, we performed 5 surgical interventions of both spinal and brain surgery using our smartphone as a magnifier. This allowed us to overcome the absence of a better magnification system.
 +
 +This simple "smartphone-based exoscope" allows surgeons to get an adequate magnification during surgery when microscopes or magnification goggles are not available. It can be a useful solution in developing countries where often nothing better is available
 +((Cenzato M, Fratianni A, Stefini R. Using a Smartphone as an Exoscope Where an 
 +Operating Microscope is not Available. World Neurosurg. 2019 Aug 30;132:114-117. 
 +doi: 10.1016/j.wneu.2019.08.137. [Epub ahead of print] PubMed PMID: 31476467.
 +)).
 +----
 +The exoscope has been introduced as an alternative to microscopes or endoscopes. Barbagallo et al. used a 3D, HD exoscope ([[3D Vitom]]®, [[Karl Storz]], Tuttlingen, Germany) in two patients undergoing two-level ACDF for cervical myelo-radiculopathy.
 +
 +The exoscope was used during soft-tissue dissection, discectomy, osteophytectomy and cage insertion. Microsurgical drilling of posterior osteophytes, which usually requires adequate magnification and proper microscope angulation, was also performed with the exoscope.
 +
 +Exoscope provided a 3D view of the surgical field similar to a microscope and allowed us to effectively and safely perform the above surgical steps. The main advantage of 3D exoscope-assisted surgery, compared to microscope-assisted surgery, is the possibility to generate videos with a similar view and image quality as perceived by the surgeon; therefore, the didactic capabilities of exoscopic videos are greater than those provided by microscopes. Exoscopes are also smaller compared to microscopes: this allows for comfortable use from early surgical steps to device implantation.
 +
 +Barbagallo et al., think that exoscope-assisted surgery may become a safe and effective alternative to microscope-assisted surgery in ACDF
 +((Barbagallo GM, Certo F. 3D, HD exoscopic Anterior Cervical Discectomy and
 +Fusion: a valid alternative to microscope-assisted surgery. World Neurosurg. 2019
 +Jun 14. pii: S1878-8750(19)31590-6. doi: 10.1016/j.wneu.2019.06.049. [Epub ahead 
 +of print] PubMed PMID: 31207374.
 +)).
 +
 +===== Orbeye =====
 +[[Orbeye]]
 +
 +===== Posterior Cervical Decompression and Fusion With Exoscope =====
 +
 +[[Posterior Cervical Decompression and Fusion With Exoscope]]
  
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  • Last modified: 2022/08/10 15:39
  • by administrador