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Skull procedures

 

Dr. Oliver was President of the European Skull Base Society and pioneered the development of endoscopic endonasal skull surgery in Europe, for the treatment of skull tumors. With one of the broadest experiences in this field, it has achieved the best endocrinological recovery rate for pituitary adenomas and complete resection to resect Craniopharyngiomas.

  • What is the Renishaw Robot?
    It is an image-guided stereotactic system designed to facilitate and enable an accurate, consistent, and repeatable platform that delivers a wide range of diagnostic and therapeutic procedures for patients with different pathologies and complexities. This makes the Renishaw Robot one of the most effective and useful tools for neurological studies and related surgical interventions.
  • What is it for?
    The Renishaw Robot provides a platform that offers a wide range of possibilities for functional neurosurgical procedures, being used for deep brain stimulation and electroencephalography applications, as well as stereotactic applications for neuroendoscopy, biopsies and many more. The following are the applications in which it is most commonly used: Epilepsies It greatly facilitates surgical procedures involving the insertion of electrodes that monitor the electrical activity of the brain in cases of epilepsy. This is because it eliminates the manual adjustment of trajectory coordinates traditionally done with tactical stereo frames. Degenerative diseases such as Parkinson's disease This application provides great benefits in therapies for motor disorders such as Parkinson's disease. Thanks to this robot, the risks involved in placing electrodes on the deep structures of the brain are reduced. This is due to its rigid and stable platform. Biopsies and Neuroendoscopy The endoscopic module of this robot provides access to the ventricular system of the brain and its deep structures. Through precise image-guided planning, a security zone is defined. As well as the ability to manoeuvre by remote control, operations can be conducted more safely through such accesses and with the firm support platform for the instruments during the intervention.
  • Benefits of using the Renishaw Robot
    The use of this technology in neurology and all branches offers a host of advantages and benefits for both patients (in terms of satisfactory clinical outcomes) and surgeons (creating a precise trajectory with a minimal risk of complications). These advantages have made the Renishaw Robot a tool that is increasingly used in this type of interventions and studies, the following are its main benefits: Optimizing surgery times This is because they considerably reduce the duration of the implementation process. Improving clinical outcomes for patients Its design focuses on facilitating surgery, making it as minimally invasive as possible, thereby achieving much more satisfactory clinical results when compared to traditional methods. Minimizing risks Although the surgeon has complete control during operations, robotic surgical work reduces manual processes, thereby reducing the potential for human error or unexpected complications. Use in image-guided procedures This is one of its applications, referring to the possibility of inserting stimulating electrodes for image-guided recording procedures.
  • How is it used?
    It consists of placing, through the rigid platform that this robot offers, between 7 and 20 electrodes inside the brain structure, which will determine the exact location of the network that causes epilepsy to give way to a sub-millimetre precision removal. Basically, the process of a surgical procedure with the Renishaw Robot is as follows: Before the operation: A preliminary study is conducted on the patient in order to plan and identify the points of the brain structure that need to record the specific activity. In this way, a safe trajectory is created to avoid any cerebral veins or arteries and thus prevent haemorrhages. During the operation: The above-mentioned planning is followed to implant the electrodes in the identified and marked areas. After the operation: After removal of the electrodes, the patient recovers quickly and with little or no pain.
  • Adverse effects of using the Renishaw Robot
    No adverse effects have been found to the use of this robot in any of its applications.

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