Page 929 - Read Online
P. 929

Shaikh et al. Mini-invasive Surg 2020;4:89                     Mini-invasive Surgery
               DOI: 10.20517/2574-1225.2020.97




               Review                                                                        Open Access


               The endoscope and instruments for minimally
               invasive neurosurgery



               Salman Shaikh, Chandrashekhar Deopujari

               Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai 400020, India.
               Correspondence to: Prof. Chandrashekhar E. Deopujari, Head of Neurosurgery, Bombay Hospital Institute of Medical Sciences,
               Room 114, MRC building, Bombay Hospital, 12, Marine Lines, Mumbai 400020, India. E-mail: d.chandrashekhar11@gmail.com

               How to cite this article: Shaikh S, Deopujari C. The endoscope and instruments for minimally invasive surgery. Mini-invasive Surg
               2020;4:89. http://dx.doi.org/10.20517/2574-1225.2020.97

               Received: 6 Oct 2020    First Decision: 5 Nov 2020    Revised: 13 Nov 2020    Accepted: 17 Nov 2020    Published: 10 Dec 2020

               Academic Editor: Oreste de Divitiis    Copy Editor: Cai-Hong Wang    Production Editor: Jing Yu


               Abstract
               The advent of neuroendoscopy catalyzed the ongoing development of minimally invasive neurosurgery in the
               1990s. This millennium has seen rapid developments in the design of scopes, improved high-definition visualization
               systems, and a plethora of dedicated instruments. Many minimally invasive and endoscopic procedures have
               become the new “standard of care” today. Endoscopic third ventriculostomy and endonasal pituitary surgeries
               have replaced alternative techniques in most major institutes in the world and the indications are rapidly increasing
               to tackle many midline skullbase, intraventricular, and some parenchymal lesions as well. The scope of minimally
               invasive neurosurgery has extended to spine surgery, peripheral nerve surgery, and unique indications, viz.
               craniosynostosis repair. This review describes many of these developments over the years, evaluates current
               scenario, and tries to give a glimpse of the “not so distant” future.

               Keywords: Hydrocephalus, endonasal endoscopic approach, minimally invasive neurosurgery, minimally invasive
               spine surgery, neuroendoscopy, skullbase, ventricular surgery




               INTRODUCTION
               Minimally invasive surgery has become the “standard of care” over the last 50 years in various branches
               of surgery. Although endoscopic neurosurgery for hydrocephalus took roots quite early, it took much
               longer for the other procedures to develop until the introduction of dedicated scopes and appropriate
               instrumentation. Endoscopic third ventriculostomy became a real alternative to shunt surgery for


                           © The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
                           International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
                sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
                as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
                and indicate if changes were made.


                                                                                                                                                     www.misjournal.net
   924   925   926   927   928   929   930   931   932   933   934