ROBOTIC SURGERY
NAVIGATION
ENDOSCOPIC TREATMENT
THERMAL ABLATION
INTERVENTIONAL RADIOLOGY
OPEN SURGERY
ROBOTIC SURGERY
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Your surgeon makes tiny (one to two centimeter-long) incisions in your body.
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Your doctor inserts a miniature robotic instruments and a powerful camera into your body.
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Your surgeon then sits at a nearby console (a large computer) to direct the procedure. At the console, the area of operation can be seen highly magnified, with excellent resolution.
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Sitting at the console, your surgeon manipulates the controls.
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The instruments respond to these movements, and translate them into precise, real-time movements inside your body.
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The robotic devices, which have greater dexterity and range of motion than a human, allow your surgeon to successfully perform delicate surgeries in hard-to-reach places.
Benefits to surgeons and patients
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Less pain and use of pain medication
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Less blood loss
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Less risk of infection
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Less scarring
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Shorter hospital stays
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Shorter recovery time
Gynecological - Hysterectomy,Prolaps,Fibroides,Ovaries or fallopian tubes pathologies
Prostate - removal of prostate cancer
Colorectal surgery - removal of colorectal cancer, inflammatory bowel disease,hemorhoides
Gastrointestinal surgery - gastrointestinal cancers remove lymph nodes, large tumors, or
reconstruct organs and tissues
Heart surgery - heart defects, blood vessel diseases, and aneurysms
Joint surgery - implant of hip and knee prosthesis
Thorax surgery - Lung Cancer surgery, anterior mediastinal tumors (including
thymectomy) posterior mediastinal tumors, diaphragm surgery, esophageal
surgery, and paraesophageal hernia repair
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COMPUTER ASSISTED SURGERY ( CAS ) "NAVIGATION"
Customized software builds a 3D model of each patient’s anatomical area.
This provides a digital map for the physician to follow during surgery, which is why it is sometimes called “surgical navigation.”
The surgeon is able to match the patient’s actual anatomical area to the 3D rendering, much like a GPS.
This technology allows the surgeon to track the position of surgical instruments and implants in real time in relation to the patient’s anatomical area of pathology.
Benefits to surgeon and patient:
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Less pain
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More precision
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Reduce operative time
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Less risk of infection
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Shorter hospitalization
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Better results of post operative rehabilitation
The experts of KNEE ARTHROPLASTY increase the success of post operative results with use of navigation. It is helping the doctor to see with high precision meccanical and anatomical axis, ligament balancing,epicondylar axis than PRECISION of RESECTION improve the SUCCESS of your knee implant.
Computer-assisted BRAIN SURGERY uses 3-D imagery to plan and perform surgery. Craniotomies are surgical procedures used to treat vascular malformations, malignant and benign tumors, and other abnormalities in the skull.
Computer-assisted craniotomies offer patients a range of benefits:
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Smaller incisions and skull holes
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Faster locating of brain lesions during surgery
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Less damage to healthy brain tissue and blood vessels
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Computer navigation aids the surgeon in detecting tumor boundaries intraoperatively
The advancement of computer-assisted craniotomy allows some previously inoperable benign or malignant tumors to be removed.
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SKOPJE
ENDOSCOPIC SURGERY
During an endoscopy, the doctor inserts a tool called an endoscope into a person’s body. Most endoscopes are thin tubes with a powerful light and tiny camera at the end.
Reason:
Byopsy
Diagnostic exploration
Therapeutical treatment
Anoscopy-Anus and/or rectum
Arthroscopy-Small and big joints
Bronchoscopy-Trachea, or windpipe, and the lungs
Colonoscopy-Colon and large intestine
Colposcopy-Vagina and cervix
Cystoscopy-Inside of the bladder inserted through the urethra
Esophagoscopy-Esophagus -Inserted through the mouth
Gastroscopy-Stomach and duodenum-Inserted through the mouth
Laparoscopy-Stomach, liver, or other abdominal organs, including female reproductive organs, including the uterus, ovaries, and fallopian tubes
Inserted through a small, surgical opening in the abdomen
Laryngoscopy-Larynx, or voice box inserted through the mouth
Neuroendoscopy-Areas of the brain Inserted through a small incision in the skull
Proctoscopy-Rectum and sigmoid colon Inserted through the anus
Sigmoidoscopy Inserted through the anus
Thoracoscopy-Pleura, which are the 2 membranes covering the lungs and lining the chest cavity, and structures covering the heart inserted through a small surgical opening in chest
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THERMAL ABLATION
Without surgery and without anesthesia the doctor introduce the needleconnected with generator and in few minutes destroy the tumor.
THYROID NODULES
Percutaneous thermal ablation is normally performed in an outpatient setting by an experienced physician(Dr Mauro Mazzucco).Patients are normally placed in the supine position with the neck extended, and vital signs are monitored.Before ablation, local anesthesia with 1% lidocaine is typically injected at the subcutaneous puncture site and the periphery of thyroid nodules to reduce the pain during the insertion of an electrode; in instances where cystic components are present, fluid is aspirated before US-guided percutaneous ablation.In only 5 minutes without surgery nodules is reduced and your thyroid gland will continue to work normaly.The Patient stay in the hospital 2hours.
HEPATOCARCINOM
This technique has a big success in LIVER METASTASIS.Interventional is going to be done under control of ultrasound and with 2 needles in 10minutes is going to be "burned" in local anesthesia. The patient should stay in hospital 48hours.
KIDNEY CYST
Ablation of kidney TUMORS not over 5cm can be done in 15 minutes without anesthesia and with hospitalization of 48hours.
Is only one solution for the patient with only 1 kidney,for the patients who can not get anesthesia or the patients with renal insufficiency .
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INTERVENTIONAL RADIOLOGY ( IG )
Interventional radiology is a way to diagnose and treat cancer and other disease without major surgery.
With IR, your doctor looks inside your body with imaging tests such as ultrasounds, CT scans, or MRIs. Then they use small tools, like needles and tubes, to do a procedure or give treatment right where you need it.
During these procedures, your doctor can put tools into your body through tiny cuts that can be as small as a pinhole.
Benefits of Interventional Radiology
Interventional radiology does two important things at once:
1) It lets your doctor get direct access to the part of your body that needs treatment
2) It also makes it less likely that you'll get risky side effects from treatment or surgery.
This is especially important in cancer treatment with RADIOACTIVE PARTICLES or CHEMOTHERAPY, strong treatments that can damage healthy parts of you when they are sent through your whole body. Interventional radiology lets doctors put these treatments
DIRECTLY ON TUMOR and not on the healthy tissue around them.
Another benefit is that with an interventional radiology procedure, you often don't need to stay overnight in a hospital.
Doctors also use it for problems with BLOOD VESSELS, such as narrowed arteries or blood clots. IR is also a way to treat KIDNEY and GALLSTONES and to place central lines - IVs that go deep into your body to deliver medicine.
Blood vessel disease:
Arteries: Narrowing of arteries , Expanded arteries (aneurysms),Bleeding
Veins: Blood clots in the lung (pulmonary embolism, PE),Varicose veins,Blocked veins
Non vascular intervention:
Tumour therapies,Liver, kidney and other tumours (e.g. bone, lung)Uterine fibroids
Stone Disease
Kidney stones,Gall Stones
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SKOPJE
OPEN SURGERY