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微创外视镜辅助尾骨切除术:一种治疗慢性难治性尾骨痛的新方法。

Minimally invasive exoscope-assisted coccygectomy: A novel approach for chronic refractory coccydynia.

作者信息

Obeng-Gyasi Barnabas, Wilmes Danielle, Blackwell Matthew P, Kwon Jae H, Mao Gordon

机构信息

Department of Neurological Surgery, Indiana University School of Medicine, 355 W 16th St, GH #5100, Indianapolis, IN, 46202, USA.

出版信息

World Neurosurg X. 2024 Sep 25;25:100412. doi: 10.1016/j.wnsx.2024.100412. eCollection 2025 Jan.

Abstract

BACKGROUND

This technical note presents a novel minimally invasive exoscope assisted coccygectomy to treat chronic refractory coccydynia. Traditional treatments often fail to provide adequate relief for this debilitating condition, prompting the need to explore surgical approaches.

CASE DESCRIPTION

A 40-year-old female patient with persistent pain unresponsive to conservative treatments underwent this advanced procedure. Utilizing the Synaptive exoscope-microscope system, the surgery allowed for precise dissection and removal of affected coccygeal segments, with a focus on minimizing skin and soft tissue disruption to optimize wound healing and surgical site pain.

CONCLUSION

Postoperative recovery showcased significant pain reduction and improved quality of life, emphasizing the method's potential for better outcomes and fewer complications. Despite the promising results, the limitations of a single-case study necessitate further research to establish long-term effectiveness across a broader patient population.

摘要

背景

本技术说明介绍了一种新型的微创外视镜辅助尾骨切除术,用于治疗慢性难治性尾骨痛。传统治疗方法往往无法为这种使人衰弱的病症提供充分缓解,这促使人们探索手术治疗方法。

病例描述

一名40岁女性患者,经保守治疗后疼痛持续存在,接受了这一先进手术。利用Synaptive外视镜 - 显微镜系统,该手术能够精确解剖并切除受影响的尾骨节段,重点是尽量减少皮肤和软组织损伤,以优化伤口愈合和手术部位疼痛。

结论

术后恢复显示疼痛显著减轻,生活质量得到改善,强调了该方法取得更好疗效和更少并发症的潜力。尽管结果令人鼓舞,但单病例研究的局限性需要进一步研究,以确定在更广泛患者群体中的长期有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0896/11471190/126cbda1187e/gr1.jpg

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