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Intraoperative CT and Robot at Epworth Richmond Hospital, Melbourne

Epworth Hospital in Richmond VIC/ Melbourne has installed its new intraoperative mobile Samsung Body-Tom CT scanner in the Lee Wing’s Neuro-, cardiac and hybrid theatre complex. The scanner can be used in conjunction with Epworth’s Mazor Robot (above right image), or as a stand-alone during brain tumour, cerebrovascular and/or spinal surgery. It’s another way of […]

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Cervical spinal salvage with mobile artificial discs, after fusion elsewhere and recent trauma

This patient who had a cervical spinal fusion at C4/5 done interstate a few years ago and did well from that operation, was referred to me following recent cervical trauma that led to significant adjacent level disc herniations (yellow arrows in figure below). The massive acute disc disruption at C6/7 was compressing the cervical cord […]

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Minimally invasive anterior approach used to replace failed posterior approach

This patient was recently referred for ongoing symptoms of low back and leg pain following a procedure done by someone interstate.  The construct (posteriorly placed instrumentation comprised of screws, hooks and rods) had failed to stabilise the spine or resolve the symptoms. This is an x-ray of that posterior construct: I first removed the construct […]

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A Complex Neurosurgical Operating Suite

So much effort goes into a complex neurosurgical procedure. It truly is like flying a complex aircraft: ‘Pilot’ and ‘copilot’ surgeons; each step has to be checked; there has to be redundancy (backups) built in to the system; there is a requirement for meticulous attention to detail and sustained focus; critical decision making; and there […]

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