In 1987 Mouret performed the first laparoscopic cholecystectomy, starting a revolution in surgery. For paediatricians it is difficult to appreciate the magnitude of what has occurred in this short period. The development of minimal access techniques represents the most significant change in surgical practice since the introduction of aseptic technique or safe anaesthesia. As with many innovatio...

BACKGROUND Cardiac surgery has been the last area of clinical surgery to adopt and embrace minimally invasive surgical techniques. Since the onset of arterial embolectomy in 1965, arthroscopic knee surgery performed in 1975 and laparoscopic cholecystectomy in 1985, huge advances in videoscopic, thorascopic and small incision surgery has taken place in all specialties which now allow change in t...

During the last two decades, several techniques for minimally-invasive parathyroidectomy have been developed, including open approaches (open minimally-invasive parathyroidectomy - OMI P), minimally-invasive radio-guided parathyroidectomy (MI-RP), video-assisted parathyroidectomy (VAP), video-assisted parathyroidectomy through a lateral approach (VAP-LA) and purely endoscopic parathyroidectomy ...

Pars plana vitrectomy (PPV) was introduced almost 40 years ago. 1 In the 1980s and 1990s, three-port PPV with 20-gauge (G) instruments was the norm. In 2002, 25-gauge transconjunctival sutureless vitrectomy (TSV) was introduced.2,3 This system permits threeport PPV using microcannulas, trocars, and 25-G instrumentation without requiring sutures to close the sclerotomies. Subsequently, a similar...

In the book ”Contemporary Endoscopic Spine Surgery”, edited by Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, and Anthony Yeung, information on history of spinal endoscopy is provided. A number aspects surgery are covered, in particular pain, preoperative examination, indications for endoscopic surgery, anesthesia, outpatient surgery. New technologies described. Leading scientists presented c...

Percutaneous disc surgery, also known as percutaneous discectomy (PD), for herniated nucleus pulposus (HNP) was introduced by Hijikata [1] in Japan. Indeed, as compared with traditional disc surgery such as love’s procedure, PD is minimally invasive since it can be performed under local anesthesia. However, Hijikata’s technique does not use a spinal endoscope; thus, its reliability for the remo...

This study aimed to compare the efficacy of muscle gap approach under a minimally invasive channel surgical technique with the traditional median approach.In the Orthopedics Department of Traditional Chinese and Western Medicine Hospital, Tongzhou District, Beijing, 68 cases of lumbar spinal canal stenosis underwent surgery using the muscle gap approach under a minimally invasive channel techni...

Over 1.2 million patients are diagnosed with, and in active treatment for lumbar spinal stenosis (LSS) at any given time. Typically, these patients experience discomfort while walking or standing, for any length of time. The LSS treatment algorithm contains a gap of under-treated patients between epidural steroid injections (ESI) and open surgery. With the introduction of a minimally invasive l...