Idiopathic Scoliosis: Surgical (OR) Setup and Equipment
Surgical Technique for Anterior Thoracoscopic Correction of Idiopathic Scoliosis: Chapter 2
OR Set-Up and Equipment
Two endoscopic monitors are utilized, one facing the patient as the spine surgeon positions himself or herself posterior to the patient. A second placed posterior to the patient and spine surgeon to allow visualization for the thoracic or assisting surgeon. (Fig. 3)
The spine surgeon’s position at the patient’s back allows all of the instruments to be directed away from the spinal cord. Standing behind the patient will also assist the surgeon in his or her orientation to the external landmarks of the ribs and spine as seen through the scope without a mirror image on the screen. Depending on the video system the assistants monitor may need to be flipped to give the correct image orientation. The fluoroscopy monitor is placed at the foot of the bed.
In addition to the standard CD HORIZON ECLIPSE instruments and implants, several basic endoscopic instruments are necessary. The instruments include a 30 degree 10mm scope with a three-chip camera, a selection of long curettes, pituitarys, kerrison rongeurs and some standard endoscopic instruments (kitners, bovie and hemostatic agents). For lung retraction the Expose Fan is preferred. (Made by Advanced Surgical)