“The SRP was used to rehearse and to obtain the proper orientation and approach for optimal visualization of the aneurysm, including the bilateral superior cerebellar and posterior cerebral arteries. Additionally rehearsal facilitated selection and placement of the ideal permanent clip. Given the patient’s anatomy and projection of the aneurysm, the 3D rehearsal enabled the team to visualize the aneurysm via the view from the surgeon’s perspective and from the reverse position to better appreciate the positioning of the distal vessels and their relationship to the clip tines. “
“When the clip was applied to the ruptured aneurysm during surgery, we used the exact clip that was pre-selected with the SRP and I successfully placed the clip with a single attempt. The “mental picture” and “muscle memory” gained from the brief SRP rehearsal allowed for safe and effective clip placement without need for further adjustment.
~ Justin Singer M.D. (PGY5), Department of Neurosurgery, University Hospitals Case Medical Center
“The SRP allowed the resident who participated in the surgery to rehearse obtaining the proper orientation and approach for optimal visualization of the aneurysm and proximal M1 and M2 branches to facilitate application of the temporary clip, and selection and placement of the ideal permanent clip. All of those actions were done on the SRP (Figure 1 & 2 –SRP snapshots) before proceeding with the actual dissection of the Sylvian fissure, allowing the resident to have a ‘mental picture’ of what would be seen in the microscope as the dissection proceeded. Furthermore, this case demonstrates how the SRP can facilitate an extensive patient specific “hands on” experience for residents, in a “safe environment” outside of the actual operating room.”
“This case highlights the benefits of SRP in allowing for optimal clipping of cerebral aneurysms, even in an emergent setting. The segmentation capabilities and detailed insight obtained with the patient-specific, interactive 3D model makes the SRP a valuable tool for pre-surgical planning and preparation. Furthermore, this case demonstrates how the SRP can facilitate an extensive patient specific “hands on” experience for residents, in a “safe environment” outside of the actual operating room.”
~ Warren R. Selman, Harvey Huntington Brown Jr., Professor & Chairman Department of Neurological Surgery Neurosurgeon-in-Chief, University Hospitals Director, UH Neurological Institute
Aside from its potential direct impacts on patient care, the rehearsal platform is an invaluable tool for training, senior neurosurgery resident,” Dr. Justin Singer said.
“For a younger generation of surgeons training, there are so many constraints on the number of hours that we’re allowed to train in the hospital,” he said, referring to recent rules limiting the number of hours interns and residents can spend working consecutively. “Any tool that we have at our disposal to enhance our perception and visualization ahead of time, so that when we get in the operating room we can say ‘I’ve seen this before’ is a degree of comfort that we’ve not had before. It’s a very powerful tool for the future.”