Robotic technology has helped medicine to reduce exposure time and offer greater efficiency and precision in surgical interventions. The goal of using an articulated robotic arm for X-ray (Rx) guided minimally invasive surgery and interventional assistance is to reduce direct and secondary radiation on physicians. The use of a collaborative robotic arm (COBOT) that replaces the operating arm of the surgeon-interventionist physician to avoid exposure to X-rays is described.
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Oct-Dec 2021, Volume 3, Issue 4
Nosocomial infections in neurosurgery: a study of incidence, associated factors and etiology. Cayetano Heredia Hospital. April 2020 - March 2021
Nosocomial Infections (NIs) occurred in a third of the patients; increasing in those with traumatic pathology, undergoing surgery, admitted to the ICU, and prolonged hospital stay; thereby increasing mortality. It is unavoidable to consider the presence of Gram-negatives and enterobacteria when using antimicrobials in the treatment of NI in neurosurgical patients.This study shows the epidemiology of NIs inhospitalized in the Neurosurgery Service of Cayetano Heredia Hospital (HCH), between April 2020 and March 2021.
Intracerebral hemorrhage of basal ganglia, surgical management through transinsular transylvian approach. case report
Acute spontaneous intracerebral hemorrhage is a life-threatening disease of global importance, with a poor prognosis and few effective treatments. For supratentorial intracerebral hemorrhage, early evacuation (<24 hours after hemorrhage onset) with standard craniotomy is considered lifesaving in deteriorating patients. In cases where the hemorrhage is less than 1 cm from the cortical surface, the clinical benefit is even greater.
Cerebral venous thrombosis (CVT) is a rare type of cerebrovascular disease that can occur at any age and represents 0.5% to 1.5% of the total.1 Superior sagittal venous sinus thrombosis (SSVST) secondary to brain injury (BTI) is reported worldwide only as single cases or in small series.3,4 Headache is the most frequent symptom (90%). The most common focal signs are aphasia and hemiparesis. Papilledema occurs in 25% of cases and epilepsy in about 40%.1,4 Diagnosis is made by venous phase angiography, or by magnetic resonance imaging (MRI) with gadolinium or computed tomography (CT)1,2.
An intracranial foreign body granuloma is a chronic inflammatory reaction, due to materials used in cranial surgery; this complication is rarely reported in neurosurgery. The definitive diagnosis is by pathological anatomy since the images are very similar to those of a brain tumor. Treatment is total resection of the lesion.
The first case of pediatric spindle cell / pleomorphic sarcoma associated with Haberland syndrome or Encephalocraniocutaneous Lipomatosis, a rare ectomesodermal dysgenesis defined by the triad that includes ocular, skin, and central nervous system involvement, which is usually unilateral, is described. This disorder is attributed to a postzygotic mutation responsible for dysgenesis of the neural tube and crest.
Wounded Glioma Syndrome (WGS) is a clinical picture described after resection of high-grade tumors. It is characterized by the presence of hemorrhage and postoperative edema that is difficult to manage, leading to significant sequelae and in some cases death. Pre and postoperative conditions play an important role in WGS, as well as factors related to surgery such as modification of tumor and peritumoral blood flow, altered coagulation, among others.