CAI Neurosurgical Operation Virtual Simulation Brain abscess resection

CAI Neurosurgical Operation Virtual Simulation Brain abscess resection Col. Supakijs Sanguandekul

Content • • • Objective Excellence surgery Successful excellence surgical development project series Surgical learning module Virtual simulation Of neurosugical operation: Brain abscess resection Simple neuronavigator Neurosurgical operative models Operative simulation : Surgical technic of Brain abscess resection picture& VDO clip Quiz

Objective • Understanding of Excellence surgery Virtual reality simulation of neurosurgical procedure: Brain abscess resection Simple neuronavigator Neurosurgical operative models Neurosurgical technic : Brain abscess resection • Neurosurgical skill training

3 In 1 Simple neuronavigator CAI Navigator Simulator

Excellence Surgery Operative skill Excellence Surgery Ethic Knowledge

Successful Excellence surgical development project series 3 Aspects of development for Excellence Surgery ๑. ดานความร (Knowledge) E-learning Research series Genius formation Excellence Neurosurgical quality ๒. ดานจรยธรรม (Ethic) Empowering ethic in medical education(Good surgical practice, patient safety) Ethic E-larning &Research series ๓. ดานทกษะการผาตด (Surgical skill, technic) Virtual reality for neurosugical operative simulation Simple virtual reality neuronavigator Neurosurgical practice models Computer Assist Instruction (CAI) for surgical operation Neurosurgical equipment

Surgical learning Module � For patient safety , Excellent Practice : step of learning&skill training � Knownledge: learning: Active learn(Self direct): Textbook, E-learning Practice&feedback Research Passive learn: Lecture , Problem based learning(PBL) � Operative Skill: Computer assist Instruction for operative training Operative Model Cadaveric dissection � Observe real operation � Practice in real human under supervision � Practice in real human

The virtual reality : neurosugical operative simulation

Simple neuronavigator

Preoperative planning by simple neuronavigator • Planning process 1. Input image 2. Image reconstruction Target Pathologic lesion Eloquent area Entry point&Target point Approach Direction Scalp incision Cranial openning line 3. Output image Via Projector

Target pointing

Operative planning Patient head position & drapping&aseptic preparation ofskin Surgical approach Bleeding control Anatomical barrier opening Scalp incision Skull opening Dura opening Cranial opening via transgyrus, transsulcus, transcistern Pathological lesion resection • Pathological resection • Anatomical barrier Closing • •

Brain & head model

Navigator & Model : target pointing

Surgical operation simulation

Brain abscess resection procedure • • • Head position Target point Drapping Scalp opening Skull opening (Craniotomy) Dural opening Cotical (Transulcus )dissection Pus aspiration Abscess resection Dura &skull &skin closure

Head position

Target pointing by simple neuronavigator

Drapping

Scalp opening

Skull opening (craniotomy)

Skull remove

Dura opening

Corticotomy (Transulcus)

Pus aspiration

Abscess resection

Abscess remove

Complete resection&Bleeding control

Resection

Skull closure

Scalp closure

VDO Dura opening

VDO Transulcus approach

VDO Brain abscess aspiration

VDO Brain abscess resection

Quiz • What is virtual simulation , Excellence surgery • Describe the Advantage of simple neuronavigator • Describe the Surgical technic of brain abscess resection