A highly advanced robotic visualisation system used to guide the most intricate neurosurgeries is now operational at Netcare Garden City Hospital in Mayfair West, Johannesburg.
A first for Africa, the ZEISS KINEVO 900 provides 3D visualisation of the brain, spine and other parts of the nervous system. The system will be extremely useful to neurosurgeons in diagnosing problems, as well as to guide a range of intricate procedures to treat abnormalities of, and diseased tissue within, the nervous system.
“The ZEISS KINEVO 900 is an important development in neurosurgery both locally and internationally. Its installation at Netcare Garden City Hospital has therefore generated a great deal of interest within the local medical sector, and it has already been used by neurosurgeons at the hospital for a variety of procedures over the past few weeks,” said Managing Director of the Netcare Hospital division, Jacques du Plessis.
“This new-generation visualisation device is perhaps best described as an enabling technology: it allows the neurosurgeon to use both a 3D digital screen, as well as the traditional microscope optic, providing them with more options and greater flexibility while performing procedures,” continued du Plessis.
According to Dr Yusuf Osman, a neurosurgeon at Netcare Garden City Hospital since 1994, neurosurgery has numerous challenges inherent to it, largely due to the extremely delicate structures in the brain and other parts of the nervous system.
“The greatest care needs to be taken when undertaking procedures within these areas. It is important therefore for us as neurosurgeons to be able to visualise the anatomy as clearly as possible. We need to be able to easily differentiate the normal anatomical structures from abnormal or diseased tissue,” said Dr Osman.
Dr Osman and his team were trained on the new system before undertaking a number of procedures to treat brain tumours, malformations in the brain stem and spine tumours.
“This visualisation technology will also prove its worth in various other neurological procedures, including the treatment of blood vessel abnormalities in the brain and slipped discs in the spine,” said Dr Osman.
“With surgeon-controlled robotics to assist in focusing, magnifying and visualising precisely and effortlessly, it is also a great deal easier to operate than other microscopes. The robotics of the system is designed to allow intelligent rather than manual positioning, enabling precision positioning with much less effort. This enables the surgeon to exclusively focus on the site of treatment. It also provides rock solid stability and minimises time-consuming efforts in planning even the most challenging neurosurgeries,” concluded Dr Osman.
The ZEISS KINEVO 900 has the facility to record surgical procedures which can then be downloaded to other devices. This gives the surgeon the opportunity to review the procedure, as well as to easily discuss cases and share knowledge with colleagues.