Department of Neurosurgery, Ospedale Ca Granda Niguarda, Milan, Italy.
Department of Neurosurgery, Ospedale Civile di Legnano, Milan, Italy.
World Neurosurg. 2019 Dec;132:114-117. doi: 10.1016/j.wneu.2019.08.137. Epub 2019 Aug 30.
Neurosurgical operating rooms are equipped with microscopes in order to provide a good standard of care. Nevertheless, in developing countries, microscopes are not always available. During a short period in a western Africa hospital, we adapted our smartphones as a valid alternative to the microscope.
Using a shaped tin can, a smartphone cover, and a rod fixed to the bed, we could make a support for a smartphone creating a simple "homemade" exoscope, which allowed us to have magnification and light in the surgical field.
Among others, we performed 5 surgical interventions of both spinal and brain surgery using our smartphone as a magnifier. This allowed us to overcome the absence of a better magnification system.
This simple "smartphone-based exoscope" allows surgeons to get an adequate magnification during surgery when microscopes or magnification goggles are not available. It can be a useful solution in developing countries where often nothing better is available.
神经外科手术室配备显微镜,以提供高标准的护理。然而,在发展中国家,显微镜并非总是可用。在西非的一家医院,我们在短时间内将智能手机作为显微镜的有效替代品。
我们使用一个形状像锡罐的智能手机外壳和一根固定在病床上的杆子,为智能手机制作了一个支架,创造了一个简单的“自制”手术放大镜,为手术区域提供了放大和照明效果。
我们使用智能手机作为放大镜,成功进行了 5 例脊柱和脑部手术的干预,这使我们克服了缺乏更好的放大系统的问题。
当显微镜或放大镜不可用时,这种简单的“基于智能手机的手术放大镜”可让外科医生在手术中获得足够的放大效果。在那些往往没有更好设备的发展中国家,它可以成为一种有用的解决方案。