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NEURO-NAVIGATION

Mr. J. Kevin Adede,RN

Perioperative Nurse

Operating Rooms

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INTRODUCTION

  • Allows surgeons to precisely track anatomical tissue positions.
  • This sophisticated technology is often compared to GPS tracking, which allows travelers to see their position on a map.

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INDICATIONS

  • Locating anatomical structures in either open or percutaneous procedures.
  • Any medical conditions in which the use of stereotactic surgery may be appropriate
  • Rigid anatomical structure, such as the skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.

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PROCEDURES

  • Brain tissue Biopsy
  • Brain Tumor resection
  • Brain Ventricular Catheter placement
  • Deep brain stimulation lead placement
  • Spine decompression or fusion (including, but not limited to cortical screw placement)

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CAPABILITIES

  • Interfaces with intraoperative imaging systems, including iMRI , iCT , C-arms, and the O-arm™ surgical imaging system, to orient surgeons with 3-D images of the patient’s anatomy
  • Tracks surgical instruments in real time, based on preoperative and intraoperative images

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  • Relays movements of instrumentation relative to patient anatomy via optical or electromagnetic navigation options
  • Helps guide your planning and approach prior to and during surgery, allowing you to create, store, and simulate progression along one or more surgical trajectories
  • Integrates with external devices like endoscopes and microscopes, streamlining visualization workflows

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ADVANTAGES

  • Neuronavigation increases the intraoperative safety by providing neurosurgeons with excellent orientation, precise localization, safe dissection guidance, and exact evaluation of the extent of tumor resection.

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IMPACTS

  • Neuronavigational guidance, however, currently has several intrinsic limitations owing to the extra time needed for preoperative imaging, image processing, and coregistration process and the corresponding costs.

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SET UP

Intraoperative set up of the Neuronavigation System

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References

  • Medtronic Stealth Station,Surgical Navigation Systems 2024
  • World Neurosurgery,2022
  • Wurm G, Wies W, Schnizer M, Trenkler J, Holl K. Advanced surgical approach for selective amygdalohippocampectomy through neuronavigation. Neurosurgery. 2021;46:1377–1382. doi: 10.1097/00006123-200006000-00016. discussion 1382-1373.

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Q & A

  • End