Eliminate the fear of complications in spinal surgery

At Tam Anh General Hospital, the C-arm (continuous X-ray system during surgery) brings efficiency and quality of life after spinal surgery to thousands of patients, while eliminating the fear of complications for patients and even surgeons.

Minimally invasive spine surgery assisted by C-arm navigation system

ONLY 1 HOUR TO SOLVE THE PATIENT'S DECADES-OLD FEAR

Patient Hoang Huu Khai (79 years old, living in Dong Nai) has a herniated disc in the cervical and lumbar spine, and a very severe narrowing of the cervical canal, causing numbness and weakness in the limbs, making it difficult to walk. Not only is he old, but his heart function is only 30% due to severe heart failure. The patient also has a history of myocardial infarction with coronary stent placement, along with many underlying diseases such as high blood pressure, diabetes, and chronic kidney disease. The patient visited many places for examination but was refused spinal surgery due to a mortality rate of up to 70%.

MANY BENEFITS FROM C-ARM GPS

At the Orthopedic Trauma Center (Tam Anh General Hospital System), the C-arm positioning machine combined with many other modern devices helps spinal surgery become routine. In particular, the Opmi Vario 700 Zeiss microsurgical system helps surgeons enlarge the surgical field 20-25 times, see through the smallest nerves, help limit damage to nerves and surrounding tissues, and limit the risk of muscle weakness after surgery.

In some bone and joint injuries, the support of the C-arm positioning machine also helps the surgeon not to make an incision in the skin to handle. The surgeon only needs to adjust the axis, correct anatomical deviations indirectly through the skin and fix the damaged bones and joints with screws, while controlling the path of the instruments, helping the instruments to be placed in the correct position in the bone.

With the ability to clearly see the patient's anatomical structures, the C-arm also supports many important fields such as cardiovascular research and angiography, stent placement and catheter placement, treatment of digestive - hepatobiliary - pancreatic, urinary, cardiovascular diseases... All of these help increase the success rate of minimally invasive surgical treatments, limit infections, reduce hospital stay and medication for patients.

According to Dr. Tang Ha Nam Anh, Director of the Orthopedic Trauma Center of Tam Anh General Hospital, most of the patients who come to visit and have spinal surgery at Tam Anh General Hospital are elderly, have many underlying diseases, and internal medicine treatment is no longer effective. Spinal surgery was previously considered a major surgery, the top fear of patients. Shortcomings during the surgery caused many patients to have complications, increasing the risk of spinal cord nerve damage leading to paralysis of the limbs, and many difficulties in daily life. Therefore, the use of minimally invasive surgery with the effective support of the C-arm positioning machine brings hope for thorough and safe treatment for patients, which has been implemented at Tam Anh General Hospital for many years.

"In Mr. Khai's case, we performed two consecutive surgeries. The first surgery was to screw the cervical and lumbar spines. In the second surgery, we placed a central venous line. We predicted that the patient would have low blood pressure, so we had a pre-installed cardiac medication line. Thanks to minimal intervention with the support of a C-arm, the doctor performed the surgery in a short time of about 1 hour, and the spinal surgery was successful," said Dr. Nam Anh.

The surgeon's operations are controlled on the X-ray system screen in the operating room.

SURGICAL CONTROL IMPROVES PATIENT QUALITY OF LIFE

According to Dr. Nam Anh, to perform minimally invasive spinal surgery, the doctor makes a small incision of about 2 cm at a predetermined location and inserts a catheter into the body along with a robotic system that warns of cases of nerve access to help locate other instruments. Along with that, the C-arm is capable of performing many movements in one procedure, which is continuous X-ray during surgery to help the doctor easily access the spine, insert screws through the spinal arch into the vertebral body, place the connecting bar between the screws and fix it.

SUCCESS RATE UP TO 98%

According to Dr. Nam Anh, compared to traditional surgery, minimally invasive spinal surgery with the support of a C-arm positioning machine increases the success rate to 98%, often without complications, and limits damage to surrounding healthy tissue. Small incisions and precise screw placement reduce surgery time. As a result, patients recover quickly, reduce pain, reduce blood loss, reduce post-operative complications, and can walk and do light activities 1-2 days after surgery.

"The entire C-arm system is quite compact, especially allowing the doctor to move the machine more freely over the patient's entire body, providing high-resolution 3D images. All operations are controlled on the X-ray system screen in the operating room, helping the doctor have enough information and images to place screws into the bone accurately," Dr. Nam Anh informed and emphasized: "The C-arm brightness screen has also created favorable conditions to bring efficiency in surgeries that require high complexity and depth."

Dr. Nam Anh affirmed: The C-arm positioning machine contributes to the success of minimally invasive spinal surgeries. Instead of cutting the skin, separating the fascia, exposing the protective and avoiding blood vessels and nerves, the patient's X-ray image is created from many angles thanks to the mobile C-arm, helping the doctor create a favorable surgical field without having to widen the area that needs intervention. In many cases, minimally invasive spinal surgery is performed under local anesthesia instead of general anesthesia, helping to reduce the risk of complications in elderly patients or patients with many dangerous underlying diseases.

Source link: https://thanhnien.vn/may-dinh-vi-c-arm-xoa-noi-am-anh-tai-bien-trong-phau-thuat-cot-song-185230829191054379.htm