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Exoscopic Clipping of Aneurysms - One-year Experience
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Background:
Microsurgical clipping of aneurysms is the cornerstone in the management of ruptured and unruptured aneurysms. Exoscope offers enhanced ergonomics with high-definition three-dimensional images. Our study aims to describe our institutional experience in clipping aneurysms over 1 year using the exoscope.
Materials and Methods:
A single-centre retrospective analysis of 32 patients (demographics, presentation, outcomes and complications) undergoing exoscopic aneurysm clipping at the department of neurosurgery at our centre was done.
Results:
Thirty (93.75%) patients had ruptured aneurysms and two (6.25%) had unruptured aneurysms; significant improvements were observed in modified Rankin scale (mRS) scores at 3 months (
P
< 0.0001). Mortality was seen in 4 (12.50%), poor outcomes (mRS >2) were seen in 12%.
Conclusion:
Exoscope-assisted clipping demonstrates efficacy in achieving stable functional outcomes for survivors, surpassing the ergonomic advantages of conventional operating microscopes, though larger studies are required to validate exoscope-specific advantages.
Title: Exoscopic Clipping of Aneurysms - One-year Experience
Description:
Background:
Microsurgical clipping of aneurysms is the cornerstone in the management of ruptured and unruptured aneurysms.
Exoscope offers enhanced ergonomics with high-definition three-dimensional images.
Our study aims to describe our institutional experience in clipping aneurysms over 1 year using the exoscope.
Materials and Methods:
A single-centre retrospective analysis of 32 patients (demographics, presentation, outcomes and complications) undergoing exoscopic aneurysm clipping at the department of neurosurgery at our centre was done.
Results:
Thirty (93.
75%) patients had ruptured aneurysms and two (6.
25%) had unruptured aneurysms; significant improvements were observed in modified Rankin scale (mRS) scores at 3 months (
P
< 0.
0001).
Mortality was seen in 4 (12.
50%), poor outcomes (mRS >2) were seen in 12%.
Conclusion:
Exoscope-assisted clipping demonstrates efficacy in achieving stable functional outcomes for survivors, surpassing the ergonomic advantages of conventional operating microscopes, though larger studies are required to validate exoscope-specific advantages.
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