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  1. Artikel: Exoscope and operative microscope for training in microneurosurgery: A laboratory investigation on a model of cranial approach.

    Calloni, Tommaso / Antolini, Laura / Roumy, Louis-Georges / Nicolosi, Federico / Carrabba, Giorgio G / Di Cristofori, Andrea / Fontanella, Marco M / Giussani, Carlo G

    Frontiers in surgery

    2023  Band 10, Seite(n) 1150981

    Abstract: Objective: To evaluate the viability of exoscopes in the context of neurosurgical education and compare the use of a 4k3D exoscope to a traditional operative microscope in the execution of a task of anatomic structure identification on a model of ... ...

    Abstract Objective: To evaluate the viability of exoscopes in the context of neurosurgical education and compare the use of a 4k3D exoscope to a traditional operative microscope in the execution of a task of anatomic structure identification on a model of cranial approach.
    Material and methods: A cohort of volunteer residents performed a task of anatomical structure identification with both devices three times across an experimental period of 2 months. We timed the residents' performances, and the times achieved were analyzed. The volunteers answered two questionnaires concerning their opinions of the two devices.
    Results: Across tries, execution speed improved for the whole cohort. When using the exoscopes, residents were quicker to identify a single anatomical structure starting from outside the surgical field when deep structures were included in the pool. In all other settings, the two devices did not differ in a statistically significant manner. The volunteers described the exoscope as superior to the microscope in all the aspects the questionnaires inquired about, besides the depth of field perception, which was felt to be better with the microscope. Volunteers furthermore showed overwhelming support for training on different devices and with models of surgical approaches.
    Conclusion: The exoscope appeared to be non-inferior to the microscope in the execution of a task of timed identification of anatomical structures on a model of cranial approach carried out by our cohort of residents. In the questionnaires, the residents reported the exoscope to be superior to the microscope in eight of nine investigated domains. Further studies are needed to investigate the use of the exoscope in learning of microsurgical skills.
    Sprache Englisch
    Erscheinungsdatum 2023-03-24
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1150981
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: The exoscope as a promising tool to overcome the conflict between patient positioning and surgeon ergonomics in awake surgery.

    Calloni, Tommaso / Roumy, Louis-Georges / DI Cristofori, Andrea / Carrabba, Giovanni G / Nicolosi, Federico / Giussani, Carlo G

    Journal of neurosurgical sciences

    2023  Band 67, Heft 4, Seite(n) 537–539

    Mesh-Begriff(e) Humans ; Brain Neoplasms ; Wakefulness ; Neurosurgical Procedures ; Microsurgery ; Patient Positioning ; Ergonomics ; Surgeons
    Sprache Englisch
    Erscheinungsdatum 2023-07-23
    Erscheinungsland Italy
    Dokumenttyp Letter
    ZDB-ID 193139-8
    ISSN 1827-1855 ; 0390-5616 ; 0026-4881
    ISSN (online) 1827-1855
    ISSN 0390-5616 ; 0026-4881
    DOI 10.23736/S0390-5616.22.05954-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Exoscope as a Teaching Tool: A Narrative Review of the Literature.

    Calloni, Tommaso / Roumy, Louis Georges / Cinalli, Maria Allegra / Rocca, Alessandra / Held, Andrea / Trezza, Andrea / Carrabba, Giorgio Giovanni / Giussani, Carlo Giorgio

    Frontiers in surgery

    2022  Band 9, Seite(n) 878293

    Abstract: Recently, the emergence of the three-dimensional (3D) exoscope has proven to be a viable alternative to the operative microscope (OM) as a novel workhorse of microneurosurgical procedures. Through its current iteration, the 3D exoscope has been ... ...

    Abstract Recently, the emergence of the three-dimensional (3D) exoscope has proven to be a viable alternative to the operative microscope (OM) as a novel workhorse of microneurosurgical procedures. Through its current iteration, the 3D exoscope has been demonstrated to be at least equivalent to the operative microscope in terms of surgical outcomes in many settings. With its superior ergonomics and simplicity of use, the 3D exoscope has been shown in multiple studies to be a powerful visualizing tool during surgical procedures. Moreover, the exoscopic systems, through their current iterations and by means of a high-resolution 3D monitor and 3D glasses, have allowed all participants present in the operative room to attain an unprecedented level of intraoperative visualization of anatomical structures and surgical maneuvers which are traditionally available only to the first operator. Although long-term data are still lacking regarding its future as a replacement of the OM, the 3D exoscope has revealed itself as an intense subject of discussion in neurosurgery regarding its implication for surgical education, especially for residents and junior neurosurgeons. This article is a review of the current state of the literature on the role of the exoscope in surgical education, underlining its strength as a learning tool and its potential future implications in terms of surgical education.
    Sprache Englisch
    Erscheinungsdatum 2022-04-26
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2022.878293
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Cranioplasty Following Decompressive Craniectomy.

    Iaccarino, Corrado / Kolias, Angelos G / Roumy, Louis-Georges / Fountas, Kostas / Adeleye, Amos Olufemi

    Frontiers in neurology

    2020  Band 10, Seite(n) 1357

    Abstract: Cranioplasty (CP) after decompressive craniectomy (DC) for trauma is a neurosurgical procedure that aims to restore esthesis, improve cerebrospinal fluid (CSF) dynamics, and provide cerebral protection. In turn, this can facilitate neurological ... ...

    Abstract Cranioplasty (CP) after decompressive craniectomy (DC) for trauma is a neurosurgical procedure that aims to restore esthesis, improve cerebrospinal fluid (CSF) dynamics, and provide cerebral protection. In turn, this can facilitate neurological rehabilitation and potentially enhance neurological recovery. However, CP can be associated with significant morbidity. Multiple aspects of CP must be considered to optimize its outcomes. Those aspects range from the intricacies of the surgical dissection/reconstruction during the procedure of CP, the types of materials used for the reconstruction, as well as the timing of the CP in relation to the DC. This article is a narrative mini-review that discusses the current evidence base and suggests that no consensus has been reached about several issues, such as an agreement on the best material for use in CP, the appropriate timing of CP after DC, and the optimal management of hydrocephalus in patients who need cranial reconstruction. Moreover, the protocol-driven standards of care for traumatic brain injury (TBI) patients in high-resource settings are virtually out of reach for low-income countries, including those pertaining to CP. Thus, there is a need to design appropriate prospective studies to provide context-specific solid recommendations regarding this topic.
    Sprache Englisch
    Erscheinungsdatum 2020-01-29
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2019.01357
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Reducing the Gap in Neurosurgical Education in LMICs: A Report of a Non-Profit Educational Program.

    Menna, Grazia / Kolias, Angelos / Esene, Ignatius N / Barthélemy, Ernest J / Hoz, Samer / Laeke, Tsegazeab / Veiga Silva, Ana Cristina / Longo-Calderón, Gabriel Mauricio / Baticulon, Ronnie E / Zabala, Joaquín Pérez / Hassani, Fahd Derkaoui / El Abbadi, Naija / Khan, Muhammad Mukhtar / Robertson, Faith C / Thango, Nqobile / Cheresem, Beverly / Ogando-Rivas, Elizabeth / Roumy, Louis-Georges / Karekezi, Claire /
    Alamri, Alexander / Spena, Giannantonio / Cenzato, Marco / Servadei, Franco / Giussani, Carlo Giorgio / Nicolosi, Federico

    World neurosurgery

    2023  Band 182, Seite(n) e792–e797

    Abstract: Introduction: Central to neurosurgical care, neurosurgical education is particularly needed in low- and middle-income countries (LMICs), where opportunities for neurosurgical training are limited due to social and economic constraints and an inadequate ... ...

    Abstract Introduction: Central to neurosurgical care, neurosurgical education is particularly needed in low- and middle-income countries (LMICs), where opportunities for neurosurgical training are limited due to social and economic constraints and an inadequate workforce. The present paper aims (1) to evaluate the validity and usability of a cadaver-free hybrid system in the context of LMICs and (2) to report their learning needs and whether the courses meet those needs via a comprehensive survey.
    Methods: From April to November 2021, a non-profit initiative consisting of a series of innovative cadaver-free courses based on virtual and practical training was organized. This project emerged from a collaboration between the Young Neurosurgeons Forum of the World Federation of Neurological Societies (WFNS), the NIHR Global Health Research Group on Neurotrauma, and UpSurgeOn, an Italian hi-tech company specialized in simulation technologies, creator of the UpSurgeOn Box, a hyper-realistic simulator of cranial approaches fused with augmented reality. Over that period, 11 cadaver-free courses were held in LMICs using remote hands-on Box simulators.
    Results: One hundred sixty-eight participants completed an online survey after course completion of the course. The anatomical accuracy of simulators was overall rated high by the participant. The simulator provided a challenging but manageable learning curve, and 86% of participants found the Box to be very intuitive to use. When asked if the sequence of mental training (app), hybrid training (Augmented Reality), and manual training (the Box) was an effective method of training to fill the gap between theoretical knowledge and practice on a real patient/cadaver, 83% of participants agreed. Overall, the hands-on activities on the simulators have been satisfactory, as well as the integration between physical and digital simulation.
    Conclusions: This project demonstrated that a cadaver-free hybrid (virtual/hands-on) training system could potentially participate in accelerating the learning curve of neurosurgical residents, especially in the setting of limited training possibilities such as LMICs, which were only worsened during the COVID-19 pandemic.
    Mesh-Begriff(e) Humans ; Developing Countries ; Pandemics ; Neurosurgeons ; Computer Simulation ; Learning Curve
    Sprache Englisch
    Erscheinungsdatum 2023-12-13
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2023.12.040
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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