Advancing Education in Endoscopic Spinal Navigation: Novel Methods and Technical Note

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art_PERTILE_Advancing_Education_in_Endoscopic_Spinal_Navigation_Novel_Methods_2023.PDF (1.41 MB)
Citações na Scopus
Tipo de produção
article
Data de publicação
2023
DOI
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGERNATURE
Autores
PERTILE, Maria Eduarda
BICCA, Yan de Assuncao
MACCARI, Paula M.
NETO, Orlando R.
QUINTAS, Douglas P.
BATISTA, Savio
KOESTER, Stefan W.
SERRA, Marcus Vinicius Flores de Barros Vasconcelos Fernandes
Citação
CUREUS JOURNAL OF MEDICAL SCIENCE, v.15, n.4, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
This report aims to demonstrate how to teach anatomy and understanding of spinal endoscopic vision and navigation using mnemonics. The authors present a new surgical technique for teaching endoscopic spinal navigation in a didactic manner with tips such as the ""rule of the hand"" and decomposition of the endoscopic navigation movement. We demonstrate how the surgery is seen and illustrate how images are projected onto the screen, then divide the navigation into spatial orientation and self-navigation. The article describes the proper puncture technique, how to introduce the working portal, and how to assimilate this new anatomical vision using the ""rule of the hand."" The surgeon projects their hand on the video screen to guide themselves when starting the navigation and uses the same technique to localize regions of interest during surgery. Finally, the authors break down the navigational movement into three components: forceps positioning, triangulation, and joystick motion.One of the biggest challenges when learning spinal endoscopic surgery is understanding the anatomy seen through the endoscope. By decomposing movements required for navigation, one can understand how to make proper use of the equipment as well as improve their knowledge of this ""new anatomy.""The learning methods taught in this article have the potential to decrease the learning curve and radiation exposure to those that are still acquainting themselves to spinal endoscopic navigation. We recommend that further studies measure and quantify the impact of these methods on surgical practice.
Palavras-chave
minimally-invasive spine surgery, surgery spine, lumbar spine surgery, spine technology, innovative teaching learning, endoscopic spinal surgery, spine, endoscopic surgery, endoscopic navigation
URI
https://observatorio.fm.usp.br/handle/OPI/54191
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC