Full-endoscopic spine surgery diminishes surgical site infections – a propensity score-matched analysis

Mahan, Mark A.; Prasse, Tobias; Kim, Robert B.; Sivakanthan, Sananthan; Kelly, Katherine A.; Kashlan, Osama N.; Bredow, Jan; Eysel, Peer; Wagner, Ralf; Bajaj, Ankush; Telfeian, Albert E.; Hofstetter, Christoph P.

doi:10.1016/j.spinee.2023.01.009

Cited by 16 publications

(7 citation statements)

References 37 publications

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“…A retrospective multicenter cohort study compared 1277 noninstrumented full endoscopic spine surgery (FESS) cases compared to 55,882 nonendoscopic NSQIP cohort patients. In the matched data, the SSI rates for nonendoscopic and endoscopic patients were 1.2% and 0.001%, respectively, which was a 16-times reduction [ 54 ]. The rate of infection with traditional microdiscectomies is low, but as full endoscopic surgical techniques are applied broadly, the reduction in SSIs can have a larger effect.…”

Section: Advantages Of Endoscopic Spine Surgerymentioning

confidence: 99%

Advances and Challenges of Endoscopic Spine Surgery

Burkett,

Brooks

2024

JCM

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The purpose of this paper is to review the data supporting current endoscopic surgical techniques for the spine and the potential challenges and future of the field. The origins of endoscopic spine surgery can be traced back many decades, with many important innovations throughout its development. It can be applied to all levels of the spine, with many robust trials supporting its clinical outcomes. Continued clinical research is needed to explore its expanding indications. Although the limitations of starting an endoscopic program can be justified by its cost effectiveness and positive societal impact, challenges facing its widespread adoption are still present. As more residency and fellowship programs include endoscopy as part of their spine training, it will become more prevalent in hospitals in the United States. Technological advancements in spine surgery will further propel and enhance endoscopic techniques as they become an integral part of a spine surgeon’s repertoire.

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Section: Advantages Of Endoscopic Spine Surgerymentioning

confidence: 99%

Advances and Challenges of Endoscopic Spine Surgery

Burkett,

Brooks

2024

JCM

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“…It is a great socioeconomic burden at the same time. Thanks to the nature of this specific technique that does the entire procedure withing continuous aseptic saline irrigation, the reported post operative infection rate is extremely low [6,38]. However, when the cylindrical structure of the endoscope channels is not adequately cleaned and sterilized, there is a risk of unexpected infections occurring at any time.…”

Section: Miscellaneous and Other Complicationsmentioning

confidence: 99%

Overview and Prevention of Complications During Fully Endoscopic Lumbar Spine Surgery

Kwon,

Hur

2023

J Minim Invasive Spine Surg Tech

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Fully endoscopic lumbar surgery has emerged as an alternative technique to classic open microscopic laminectomy or discectomy. It is gaining popularity due to its advantages in terms of minimal invasiveness, while achieving equivalent clinical outcomes. Remarkable technical developments in surgical techniques and instruments have expanded the indications of this surgical method. However, as the utilization of endoscopic surgery increases, related complications inevitably arise and become major clinical issues. Frequent complications include failure to achieve adequate decompression, early recurrence, and the possibility of wrong-level surgery. Intraoperative and perioperative complications can include postoperative sensory changes related to neural injury, dural tears, hematoma, infection, and rarely, water pressure-related problems. This review article presents an overview of the possible intraoperative and perioperative complications associated with uniportal full-endoscopic surgery. We also discuss the pitfalls that can lead to unexpected devastating results. Additionally, we briefly review potential preventive efforts that can help reduce the risks. The objective of this presentation is to reinforce the basic principles and introduce key technical tips for full-endoscopic spine surgery, ultimately leading to clinical success and the prevention of complications.

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“…Additionally, continued evolution of surgical techniques and forms of antibiotic delivery may help to decrease the risk of SSIs and reduce the need for antibiotics. A large body of literature has demonstrated that minimally invasive techniques reduce the incidence of SSIs [41] , [42] , [43] , [44] , [45] . As minimally invasive approaches grow more popular, prophylactic antibiotic regimens should be reevaluated to determine if decreased duration or dosing remains effective in comparison to traditional care.…”

Section: Future Considerationsmentioning

confidence: 99%

Antibiotic use in spine surgery: A narrative review based in principles of antibiotic stewardship

Anwar,

Roca,

Khosla

et al. 2023

North American Spine Society Journal (NASSJ)

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Full-endoscopic spine surgery diminishes surgical site infections – a propensity score-matched analysis

Cited by 16 publications

References 37 publications

Advances and Challenges of Endoscopic Spine Surgery

Advances and Challenges of Endoscopic Spine Surgery

Overview and Prevention of Complications During Fully Endoscopic Lumbar Spine Surgery

Antibiotic use in spine surgery: A narrative review based in principles of antibiotic stewardship

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