Skip to main content
Erschienen in: Child's Nervous System 12/2014

01.12.2014 | Cover Editorial

The role of simulation in neurosurgery

verfasst von: Giselle Coelho, Nelci Zanon, Benjamin Warf

Erschienen in: Child's Nervous System | Ausgabe 12/2014

Einloggen, um Zugang zu erhalten

Excerpt

It is increasingly apparent that the standards for surgical training are shifting from time-based to criterion-based parameters that emphasize obtaining and maintaining competencies [24]. The formation of a surgeon demands significant dedication and effort, in addition to time [54]. Current, well-established methods of surgical training are being challenged as the environment becomes increasingly competitive and litigious with greater scrutiny of patient outcomes [14, 17, 40, 44, 50]. In order to increase patient safety and improve treatment outcomes, several strategies such as problem-based learning and objective structured clinical examinations have promoted the development of new curricula in surgical education [13, 15, 35, 51, 52]. …
Literatur
1.
Zurück zum Zitat Bakhos D, Velut S, Robier A, Al Zahrani M, Lescanne E (2010) Three-dimensional modeling of the temporal bone for surgical training. Otol Neurotol 31:328–334PubMedCrossRef Bakhos D, Velut S, Robier A, Al Zahrani M, Lescanne E (2010) Three-dimensional modeling of the temporal bone for surgical training. Otol Neurotol 31:328–334PubMedCrossRef
3.
Zurück zum Zitat Botden SM, Buzink SN, Schijven MP, Jakimowicz JJ (2007) Augmented versus virtual reality laparoscopic simulation: what is the difference? A comparison of the ProMIS augmented reality laparoscopic simulator versus LapSim virtual reality laparoscopic simulator. World J Surg 31:764–772PubMedCentralPubMedCrossRef Botden SM, Buzink SN, Schijven MP, Jakimowicz JJ (2007) Augmented versus virtual reality laparoscopic simulation: what is the difference? A comparison of the ProMIS augmented reality laparoscopic simulator versus LapSim virtual reality laparoscopic simulator. World J Surg 31:764–772PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Burdea GC (1996) Force and touch feedback for virtual reality. Wiley, New York, NY Burdea GC (1996) Force and touch feedback for virtual reality. Wiley, New York, NY
6.
Zurück zum Zitat Coelho G, Kondageski C, Vaz-Guimaraes Filho F, Ramina R, Hunhevicz SC, Daga F, Lyra MR, Cavalheiro S, Zymberg ST (2011) Frameless image-guided neuroendoscopy training in real simulators. Minim Invasive Neurosurg 54:115–118PubMedCrossRef Coelho G, Kondageski C, Vaz-Guimaraes Filho F, Ramina R, Hunhevicz SC, Daga F, Lyra MR, Cavalheiro S, Zymberg ST (2011) Frameless image-guided neuroendoscopy training in real simulators. Minim Invasive Neurosurg 54:115–118PubMedCrossRef
7.
Zurück zum Zitat Chopra V, Gesink BJ, de Jong J, Bovill JG, Spierdijk J, Brand R (1994) Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaesth 73:293–297PubMedCrossRef Chopra V, Gesink BJ, de Jong J, Bovill JG, Spierdijk J, Brand R (1994) Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaesth 73:293–297PubMedCrossRef
8.
Zurück zum Zitat Condino S, Carbone M, Ferrari V, Faggioni L, Peri A, Ferrari M et al (2011) How to build patient-specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators. Int J Med Robot 7:202–213PubMedCrossRef Condino S, Carbone M, Ferrari V, Faggioni L, Peri A, Ferrari M et al (2011) How to build patient-specific synthetic abdominal anatomies. An innovative approach from physical toward hybrid surgical simulators. Int J Med Robot 7:202–213PubMedCrossRef
9.
Zurück zum Zitat Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer heath system. National Academy Press, Washington, DC Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer heath system. National Academy Press, Washington, DC
10.
11.
Zurück zum Zitat De Paolis LT, De Mauro A, Raczkowsky J, Aloisio G (2009) Virtual model of the human brain for neurosurgical simulation. Stud Health Technol Inform 150:811–815PubMed De Paolis LT, De Mauro A, Raczkowsky J, Aloisio G (2009) Virtual model of the human brain for neurosurgical simulation. Stud Health Technol Inform 150:811–815PubMed
12.
Zurück zum Zitat Debes AJ, Aggarwal R, Balasundaram I, Jacobsen MB (2012) Construction of an evidence-based, graduated training curriculum for D-box, a webcam-based laparoscopic basic skills trainer box. Am J Surg 203:768–775PubMedCrossRef Debes AJ, Aggarwal R, Balasundaram I, Jacobsen MB (2012) Construction of an evidence-based, graduated training curriculum for D-box, a webcam-based laparoscopic basic skills trainer box. Am J Surg 203:768–775PubMedCrossRef
13.
Zurück zum Zitat Dunnington G, Reisner L, Witzke D, Fulginiti J (1990) Structured single-observer methods of evaluation for the assessment of ward performance on the surgical clerkship. Am J Surg 159:423–426PubMedCrossRef Dunnington G, Reisner L, Witzke D, Fulginiti J (1990) Structured single-observer methods of evaluation for the assessment of ward performance on the surgical clerkship. Am J Surg 159:423–426PubMedCrossRef
14.
Zurück zum Zitat Dutta S, Krummel TM (2006) Simulation: a new frontier in surgical education. Adv Surg 40:249–263PubMedCrossRef Dutta S, Krummel TM (2006) Simulation: a new frontier in surgical education. Adv Surg 40:249–263PubMedCrossRef
15.
Zurück zum Zitat Ferenchick G, Simpson D, Blackman J, DaRosa D, Dunnington G (1997) Strategies for efficient and effective teaching in the ambulatory care setting. Acad Med 72:277–280PubMedCrossRef Ferenchick G, Simpson D, Blackman J, DaRosa D, Dunnington G (1997) Strategies for efficient and effective teaching in the ambulatory care setting. Acad Med 72:277–280PubMedCrossRef
16.
Zurück zum Zitat Filho FV, Coelho G, Cavalheiro S, Lyra M, Zymberg ST (2011) Quality assessment of a new surgical simulator for neuroendoscopic training. Neurosurg Focus 30:E17PubMedCrossRef Filho FV, Coelho G, Cavalheiro S, Lyra M, Zymberg ST (2011) Quality assessment of a new surgical simulator for neuroendoscopic training. Neurosurg Focus 30:E17PubMedCrossRef
17.
Zurück zum Zitat Franzese CB, Stringer SP (2007) The evolution of surgical training: perspectives on educational models from the past to the future. Otolaryngol Clin North Am 40:1227–1235, viiPubMedCrossRef Franzese CB, Stringer SP (2007) The evolution of surgical training: perspectives on educational models from the past to the future. Otolaryngol Clin North Am 40:1227–1235, viiPubMedCrossRef
18.
Zurück zum Zitat Fried GM (2006) Evaluation and validation of simulators. Presented at: SAGES/SLS Hands-on Course; April 27; Dallas, TX Fried GM (2006) Evaluation and validation of simulators. Presented at: SAGES/SLS Hands-on Course; April 27; Dallas, TX
19.
Zurück zum Zitat Gallagher AG, Cates CU (2004) Virtual reality training for the operating room and cardiac catheterisation laboratory. Lancet 364:1538–1540PubMedCrossRef Gallagher AG, Cates CU (2004) Virtual reality training for the operating room and cardiac catheterisation laboratory. Lancet 364:1538–1540PubMedCrossRef
20.
Zurück zum Zitat Gorman PJ, Meier AH, Krummel TM (1999) Simulation and virtual reality in surgical education: real or unreal? Arch Surg 134:1203–1208PubMedCrossRef Gorman PJ, Meier AH, Krummel TM (1999) Simulation and virtual reality in surgical education: real or unreal? Arch Surg 134:1203–1208PubMedCrossRef
21.
Zurück zum Zitat Halic T, Kockara S, Bayrak C, Rowe R (2010) Mixed reality simulation of rasping procedure in artificial cervical disc replacement (ACDR) surgery. BMC Bioinformatics 11(Suppl 6):S11PubMedCentralPubMedCrossRef Halic T, Kockara S, Bayrak C, Rowe R (2010) Mixed reality simulation of rasping procedure in artificial cervical disc replacement (ACDR) surgery. BMC Bioinformatics 11(Suppl 6):S11PubMedCentralPubMedCrossRef
22.
Zurück zum Zitat Hoffman H, Vu D (1997) Virtual reality: teaching tool of the twenty-first century? Acad Med 72:1076–1081PubMedCrossRef Hoffman H, Vu D (1997) Virtual reality: teaching tool of the twenty-first century? Acad Med 72:1076–1081PubMedCrossRef
23.
Zurück zum Zitat Jain M, Tantia O, Khanna S, Sen B, Sasmal PK (2009) Hernia endotrainer: results of training on self-designed hernia trainer box. J Laparoendosc Adv Surg Tech A 19:535–540PubMedCrossRef Jain M, Tantia O, Khanna S, Sen B, Sasmal PK (2009) Hernia endotrainer: results of training on self-designed hernia trainer box. J Laparoendosc Adv Surg Tech A 19:535–540PubMedCrossRef
25.
Zurück zum Zitat Khine M, Leung E, Morran C, Muthukumarasamy G (2011) Homemade laparoscopic simulators for surgical trainees. Clin Teach 8:118–121PubMedCrossRef Khine M, Leung E, Morran C, Muthukumarasamy G (2011) Homemade laparoscopic simulators for surgical trainees. Clin Teach 8:118–121PubMedCrossRef
26.
Zurück zum Zitat Klein S, Whyne CM, Rush R, Ginsberg HJ (2009) CT-based patient-specific simulation software for pedicle screw insertion. J Spinal Disord Tech 22:502–506PubMedCrossRef Klein S, Whyne CM, Rush R, Ginsberg HJ (2009) CT-based patient-specific simulation software for pedicle screw insertion. J Spinal Disord Tech 22:502–506PubMedCrossRef
27.
Zurück zum Zitat Larsen OV, Haase J, Østergaard LR, Hansen KV, Nielsen H (2001) The Virtual Brain Project—development of a neurosurgical simulator. Stud Health Technol Inform 81:256–262PubMed Larsen OV, Haase J, Østergaard LR, Hansen KV, Nielsen H (2001) The Virtual Brain Project—development of a neurosurgical simulator. Stud Health Technol Inform 81:256–262PubMed
28.
Zurück zum Zitat Lathan C, Cleary K, Greco R (1998) Development and evaluation of a spine biopsy simulator. Stud Health Technol Inform 50:375–376PubMed Lathan C, Cleary K, Greco R (1998) Development and evaluation of a spine biopsy simulator. Stud Health Technol Inform 50:375–376PubMed
29.
Zurück zum Zitat Lehmann KS, Ritz JP, Maass H, Cakmak HK, Kuehnapfel UG, Germer CT et al (2005) A prospective randomized study to test the transfer of basic psychomotor skills from virtual reality to physical reality in a comparable training setting. Ann Surg 241:442–449PubMedCentralPubMedCrossRef Lehmann KS, Ritz JP, Maass H, Cakmak HK, Kuehnapfel UG, Germer CT et al (2005) A prospective randomized study to test the transfer of basic psychomotor skills from virtual reality to physical reality in a comparable training setting. Ann Surg 241:442–449PubMedCentralPubMedCrossRef
30.
Zurück zum Zitat Lemole GM Jr, Banerjee PP, Luciano C, Neckrysh S, Charbel FT (2007) Virtual reality in neurosurgical education: part-task ventriculostomy simulation with dynamic visual and haptic feedback. Neurosurgery 61:142–149PubMedCrossRef Lemole GM Jr, Banerjee PP, Luciano C, Neckrysh S, Charbel FT (2007) Virtual reality in neurosurgical education: part-task ventriculostomy simulation with dynamic visual and haptic feedback. Neurosurgery 61:142–149PubMedCrossRef
31.
Zurück zum Zitat Luciano CJ, Banerjee PP, Bellotte B, Oh GM, Lemole M Jr, Charbel FT et al (2011) Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback. Neurosurgery 69 (1 Suppl Operative):ons14–ons19 Luciano CJ, Banerjee PP, Bellotte B, Oh GM, Lemole M Jr, Charbel FT et al (2011) Learning retention of thoracic pedicle screw placement using a high-resolution augmented reality simulator with haptic feedback. Neurosurgery 69 (1 Suppl Operative):ons14–ons19
32.
Zurück zum Zitat Ludmerer KM (1999) Time to heal. Oxford University Press, New York, NY, pp 320–321 Ludmerer KM (1999) Time to heal. Oxford University Press, New York, NY, pp 320–321
33.
Zurück zum Zitat Mattei TA, Frank C, Bailey J, Lesle E, Macuk A, Lesniak M, Patel A, Morris MJ, Nair K, Lin JJ (2013) Design of a synthetic simulator for pediatric lumbar spine pathologies. J Neurosurg Pediatr 12(2):192–201PubMedCrossRef Mattei TA, Frank C, Bailey J, Lesle E, Macuk A, Lesniak M, Patel A, Morris MJ, Nair K, Lin JJ (2013) Design of a synthetic simulator for pediatric lumbar spine pathologies. J Neurosurg Pediatr 12(2):192–201PubMedCrossRef
34.
Zurück zum Zitat McDougall EM, Kolla SB, Santos RT, Gan JM, Box GN, Louie MK, Gamboa AJ, Kaplan AG, Moskowitz RM, Andrade LA, Skarecky DW, Osann KE, Clayman RV (2009) Preliminary study of virtual reality and model simulation for learning laparoscopic suturing skills. J Urol 182:1018–1025PubMedCrossRef McDougall EM, Kolla SB, Santos RT, Gan JM, Box GN, Louie MK, Gamboa AJ, Kaplan AG, Moskowitz RM, Andrade LA, Skarecky DW, Osann KE, Clayman RV (2009) Preliminary study of virtual reality and model simulation for learning laparoscopic suturing skills. J Urol 182:1018–1025PubMedCrossRef
35.
Zurück zum Zitat McGregor DB, Arcomano TR, Bjerke HS, Little AG (1995) Problem orientation is a new approach to surgical education. Am J Surg 170:656–658PubMedCrossRef McGregor DB, Arcomano TR, Bjerke HS, Little AG (1995) Problem orientation is a new approach to surgical education. Am J Surg 170:656–658PubMedCrossRef
36.
Zurück zum Zitat McLachlan JC, Bligh J, Bradley P, Searle J (2004) Teaching anatomy without cadavers. Med Educ 38:418–424PubMedCrossRef McLachlan JC, Bligh J, Bradley P, Searle J (2004) Teaching anatomy without cadavers. Med Educ 38:418–424PubMedCrossRef
37.
Zurück zum Zitat Palter VN, Grantcharov T, Harvey A, Macrae HM (2011) Ex vivo technical skills training transfers to the operating room and enhances cognitive learning: a randomized controlled trial. Ann Surg 253:886–889PubMedCrossRef Palter VN, Grantcharov T, Harvey A, Macrae HM (2011) Ex vivo technical skills training transfers to the operating room and enhances cognitive learning: a randomized controlled trial. Ann Surg 253:886–889PubMedCrossRef
38.
Zurück zum Zitat Phillips NI, John NW (2000) Web-based surgical simulation for ventricular catheterization. Neurosurgery 46:933–937PubMed Phillips NI, John NW (2000) Web-based surgical simulation for ventricular catheterization. Neurosurgery 46:933–937PubMed
39.
Zurück zum Zitat Prystowsky JB, Regehr G, Rogers DA, Loan JP, Hiemenz LL, Smith KM (1999) A virtual reality module for intravenous catheter placement. Am J Surg 177:171–175PubMedCrossRef Prystowsky JB, Regehr G, Rogers DA, Loan JP, Hiemenz LL, Smith KM (1999) A virtual reality module for intravenous catheter placement. Am J Surg 177:171–175PubMedCrossRef
40.
Zurück zum Zitat Pugh CM, Watson A, Bell RH Jr, Brasel KJ, Jackson GP, Weber SM, Kao LS (2009) Surgical education in the internet era. J Surg Res 156:177–182PubMedCrossRef Pugh CM, Watson A, Bell RH Jr, Brasel KJ, Jackson GP, Weber SM, Kao LS (2009) Surgical education in the internet era. J Surg Res 156:177–182PubMedCrossRef
41.
Zurück zum Zitat Resch KDM, Perneczky A (1992) Use of plastined crania in neuroendoscopy. J Int Soc Plastination 6:15–16 Resch KDM, Perneczky A (1992) Use of plastined crania in neuroendoscopy. J Int Soc Plastination 6:15–16
43.
Zurück zum Zitat Rhoton AL Jr (2003) Operative techniques and instrumentation for neurosurgery. Neurosurgery 53:907–934PubMedCrossRef Rhoton AL Jr (2003) Operative techniques and instrumentation for neurosurgery. Neurosurgery 53:907–934PubMedCrossRef
44.
Zurück zum Zitat Richardson JD (2006) Training of general surgical residents: what model is appropriate? Am J Surg 191:296–300PubMedCrossRef Richardson JD (2006) Training of general surgical residents: what model is appropriate? Am J Surg 191:296–300PubMedCrossRef
45.
Zurück zum Zitat Sachdeva AK, Loiacono LA, Amiel GE, Blair PG, Friedman M, Roslyn JJ (1995) Variability in the clinical skills of residents entering training programs in surgery. Surgery 118:300–308PubMedCrossRef Sachdeva AK, Loiacono LA, Amiel GE, Blair PG, Friedman M, Roslyn JJ (1995) Variability in the clinical skills of residents entering training programs in surgery. Surgery 118:300–308PubMedCrossRef
46.
Zurück zum Zitat Satava R (1996) Advanced simulation technologies for surgical education. Bull Am Coll Surg 81(7):77 Satava R (1996) Advanced simulation technologies for surgical education. Bull Am Coll Surg 81(7):77
47.
Zurück zum Zitat Satava RM (2007) The future of surgical simulation and surgical robotics. Bull Am Coll Surg 92(3):13–9PubMed Satava RM (2007) The future of surgical simulation and surgical robotics. Bull Am Coll Surg 92(3):13–9PubMed
48.
Zurück zum Zitat Satava R (2002) Unmanned Air Vehicles (UAV) for vertical take-off and landing, such as helicopters and ducted-fan air vehicles. Courtesy Satava, Richard, and public sources Satava R (2002) Unmanned Air Vehicles (UAV) for vertical take-off and landing, such as helicopters and ducted-fan air vehicles. Courtesy Satava, Richard, and public sources
49.
Zurück zum Zitat Satava R (2006) Where we’ve come, where we’re going—curriculum, criteria, and the paradigm shift in surgical education. Presented at: SAGES/SLS Hands-on Course; April 27, Dallas, TX Satava R (2006) Where we’ve come, where we’re going—curriculum, criteria, and the paradigm shift in surgical education. Presented at: SAGES/SLS Hands-on Course; April 27, Dallas, TX
50.
Zurück zum Zitat Seymour NE, Gallagher AG, Roman S, O’Brien MK, Bansal VK, Andersen DK, Satava RM (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236(4):458–63, discussion 463–4PubMedCentralPubMedCrossRef Seymour NE, Gallagher AG, Roman S, O’Brien MK, Bansal VK, Andersen DK, Satava RM (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236(4):458–63, discussion 463–4PubMedCentralPubMedCrossRef
51.
Zurück zum Zitat Sloan DA, Donnelly MB, Johnson SB, Schwartz RW, Strodel WE (1993) Use of an Objective Structured Clinical Examination (OSCE) to measure improvement in clinical competence during the surgical internship. Surgery 114:343–350PubMed Sloan DA, Donnelly MB, Johnson SB, Schwartz RW, Strodel WE (1993) Use of an Objective Structured Clinical Examination (OSCE) to measure improvement in clinical competence during the surgical internship. Surgery 114:343–350PubMed
52.
Zurück zum Zitat Sloan DA, Donnelly MB, Schwartz RW, Strodel WE (1995) The objective structured clinical examination. The new gold standard for evaluating postgraduate clinical performance. Ann Surg 222:735–742PubMedCentralPubMedCrossRef Sloan DA, Donnelly MB, Schwartz RW, Strodel WE (1995) The objective structured clinical examination. The new gold standard for evaluating postgraduate clinical performance. Ann Surg 222:735–742PubMedCentralPubMedCrossRef
53.
Zurück zum Zitat Spiotta AM, Rasmussen PA, Masaryk TJ, Benzel EC, Schlenk R (2012) Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. J Neurointerv Surg Spiotta AM, Rasmussen PA, Masaryk TJ, Benzel EC, Schlenk R (2012) Simulated diagnostic cerebral angiography in neurosurgical training: a pilot program. J Neurointerv Surg
54.
Zurück zum Zitat Thomas WEG (2008) The making of a surgeon. Surgery 26:400–402 Thomas WEG (2008) The making of a surgeon. Surgery 26:400–402
55.
Zurück zum Zitat Tubbs RS, Loukas M, Shoja MM, Wellons JC, Cohen-Gadol AA (2009) Feasibility of ventricular expansion postmortem: a novel laboratory model for neurosurgical training that simulates intraventricular endoscopic surgery. J Neurosurg 111:1165–1167PubMedCrossRef Tubbs RS, Loukas M, Shoja MM, Wellons JC, Cohen-Gadol AA (2009) Feasibility of ventricular expansion postmortem: a novel laboratory model for neurosurgical training that simulates intraventricular endoscopic surgery. J Neurosurg 111:1165–1167PubMedCrossRef
56.
Zurück zum Zitat Walt AJ (1994) The uniqueness of American surgical education and its preservation. Bull Am Coll Surg 79:8–20 Walt AJ (1994) The uniqueness of American surgical education and its preservation. Bull Am Coll Surg 79:8–20
57.
Zurück zum Zitat Weber D, Moser N, Rosslein R (1997) A synthetic model for microsurgical training: a surgical contribution to reduce the number of animal experiments. Eur J Pediatr Surg 7:204–206PubMedCrossRef Weber D, Moser N, Rosslein R (1997) A synthetic model for microsurgical training: a surgical contribution to reduce the number of animal experiments. Eur J Pediatr Surg 7:204–206PubMedCrossRef
58.
Zurück zum Zitat Winckel CP, Reznick RK, Cohen R, Taylor B (1994) Reliability and construct validity of a structured technical skills assessment form. Am J Surg 167:423–427PubMedCrossRef Winckel CP, Reznick RK, Cohen R, Taylor B (1994) Reliability and construct validity of a structured technical skills assessment form. Am J Surg 167:423–427PubMedCrossRef
59.
Zurück zum Zitat Woodman PJ, Nager CW (2006) From the simple to the sublime: incorporating surgical models into your surgical curriculum. Obstet Gynecol Clin North Am 33:267–281, viiiPubMedCrossRef Woodman PJ, Nager CW (2006) From the simple to the sublime: incorporating surgical models into your surgical curriculum. Obstet Gynecol Clin North Am 33:267–281, viiiPubMedCrossRef
60.
Zurück zum Zitat Zymberg ST, Cavalheiro S (1996) Neuroendoscopia. A propósito de 30 casos. Revista de Neurociências 4:57–62 Zymberg ST, Cavalheiro S (1996) Neuroendoscopia. A propósito de 30 casos. Revista de Neurociências 4:57–62
61.
Zurück zum Zitat Zymberg ST, Vaz-Guimaraes Filho F, Lyra M (2010) Neuroendoscopic training: presentation of a new real simulator. Minim Invasive Neurosurg 53:44–46PubMedCrossRef Zymberg ST, Vaz-Guimaraes Filho F, Lyra M (2010) Neuroendoscopic training: presentation of a new real simulator. Minim Invasive Neurosurg 53:44–46PubMedCrossRef
Metadaten
Titel
The role of simulation in neurosurgery
verfasst von
Giselle Coelho
Nelci Zanon
Benjamin Warf
Publikationsdatum
01.12.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 12/2014
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-014-2548-7

Weitere Artikel der Ausgabe 12/2014

Child's Nervous System 12/2014 Zur Ausgabe

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.