Reducing the impact of surgery on your life is the most human thing we can do.
Surgeons on the medical staff across the Texas Health system utilize the latest robotic-assisted technology, training and expertise to offer patients a wide range of minimally invasive procedures.
Three popular minimally invasive neuro/spine procedures offered at the hospitals of Texas Health Resources are:
Vertebroplasty is a minimally invasive procedure in which special cement is injected into a broken vertebrae. Surgeons use this treatment to ease pain and improve the strength of the vertebral body.
Kyphoplasty is similar to vertebroplasty but includes the placement of a balloon inside the fractured bone prior to cement injection. When the balloon is inflated it creates a cavity within the vertebrae to aid in cement placement, fill the void and hold the fracture in place.
Both vertebroplasty and kyphoplasty are minimally invasive procedures performed by medical staff surgeons and normally take no more than 1 hour.
Benefits include:
Reduced pain immediately following the procedure
Performed on an outpatient basis
Less anesthesia
Faster recovery and return to daily activities
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This zero-incision surgery involves using an endoscope with a camera and a light, which is inserted in an opening through the sinus cavity to remove a Pituitary Gland tumor.
Surgery with No Incision
Neurosurgeon Sabatino Bianco, M.D., explains how he uses an endoscope to remove a pituitary gland tumor by accessing the lesion through a patient's nasal cavity.
See below for photos from an actual procedure performed on Jan. 15.
The camera allows the surgeon to view the affected area and remove the tumor.
This procedure takes one to two hours, compared with three or four hours for the traditional open surgery, where nose bones are removed.
Scarring:
Traditional Method Nose bones removed
Minimally Invasive Zero incisions, no bones removed
For the clinically appropriate patient, an endoscopic transsphenoidal hypophysectomy can offer a number of potential benefits, including:
Less postoperative pain
Faster recovery
Shorter hospital stay
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Actual Procedure
The images below depict a minimally invasive procedure — performed Friday, Jan. 15, at Texas Health Arlington Memorial Hospital — in which surgeon Sabatino Bianco, M.D., assisted by registered nurse Karen Brittain, removes a tumor in the brain using the through-the-nose method.
Sabatino employs an endoscope to access the lesion in the brain of patient Danielle White.
The Wingspan stent is a procedure used in the treatment of patients who have suffered a stroke, those who have suffered recurrent strokes or to help prevent a patient from suffering an initial stroke. This new technology is also used to treat patients with a build-up of plaque in the arteries of the brain.
What is a Wingspan stent and what makes this new technology so unique?
The Wingspan stent is similar to a cardiac stent device and is one of the first tools to be used for treatment of the hardening of the arteries in the brain.
It can also be used as a preventative measure in patients who have a narrowing of the arteries in their brain due to a build-up of plaque, otherwise known as atherosclerosis.
How does the procedure work?
The Wingspan stent is a minimally invasive procedure that begins by inserting a catheter through a tiny incision in the upper leg.
Once the catheter is inserted, physicians use digital X-rays to guide them from the groin incision to the site of the blockage in the brain.
An angioplasty balloon is inserted and gently dilated to expand just enough to push the plaque aside. The Wingspan stent is inserted to hold the vessel open.
For patients who have had a Transient Ischemic Attack (TIA) or stroke, this procedure is designed to prevent the recurrence of stroke or TIA symptoms that could cause further damage.
What is the recovery time?
The Wingspan stent is a minimally invasive procedure. Patients are typically kept overnight and are able to go home the next day. Some are able to return to normal low impact activity within a week.
Because the Wingspan stent accesses the brain vessels through a small incision in the leg, there are fewer complications, less scarring, and less pain.
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