Surgeons in Glasgow have performed the first operation in the UK using Mixed Reality (MR) technology which enables medics to "see inside" a patient's body during surgery.
The Institute for Neurological Sciences in Glasgow is only the third centre worldwide to use the technique which guided doctors operating on 75-year-old Carol Toal to correct a misalignment of her spine, treat a spinal cyst and decompress spinal nerves.
The problem had left Mrs Toal, from Irvine in Ayrshire, with chronic pain in her back and leg and meant the formerly active grandmother struggled to walk more than 25 yards without having to stop.
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The procedure, carried out earlier this month, involved the use of a highly advanced system called Spine Mixed Reality Navigation, as part of a trial in conjunction with manufacturer Brainlab.
The system takes current technology which fuses intraoperative X-rays with external images of a patient, but - instead of a surgeon needing to look at a screen while they operate - the images are relayed through MR goggles, giving an extremely accurate view of the patient’s body and their underlying spinal anatomy.
Mohamed Abdelsadg, the consultant neurosurgeon and complex spine surgeon who performed the surgery, said: “The result is we are effectively able to see inside a patient’s body while we are performing the operation.
“This means the surgery is much more accurate, is much less invasive, and minimises surgical damage to other tissue’’.
The spinal neurosurgeons involved in the operation trained for three days in the Institute’s Teasdale simulation suite to familiarise themselves with the equipment prior to the operation. which allowed us to familiarise ourselves with the kit
Mr Abdelsadg added: “We already do a lot of minimally invasive work using an earlier Brainlab system, so we were familiar with the set-up and this felt more like a software upgrade rather than a completely new system.”
Less than a week after the operation, Mrs Toal’s leg pain was resolved and, while she was experiencing some back pain due to the surgery, it is expected that will reduce with time.
She said: “My leg is much better and though I still have some pain in my back I’m feeling really hopeful.
“Before the pain got too bad, I used to be really active, going swimming, taking lots of holidays with my husband Robert and spending time with our six grandchildren, so I’m really looking forward to being able to do more in future.
“I’d just like to say thank you to everyone who’s been involved in my care. I can’t praise them highly enough – in fact the surgeon and his team really have been lifesavers for me.”
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While Mrs Toal was the first patient to undergo surgery using the Spine Mixed Reality system, the team hope her positive progress means it won’t be the last.
Mr Abdelsadg said: “Our early experience was certainly positive and we all feel this system has real potential to build on the advanced neurosurgical work we do at the Institute.”
Susan Groom, director of regional services at NHS Greater Glasgow and Clyde, said: “The Institute for Neurological Sciences, and services across NHS Greater Glasgow and Clyde, are always looking to embrace innovations that are shown to improve outcomes for our patients.
“I would like to thank the team at the Institute for their work during the trial, and express my appreciation to Brainlab for coming to us with this new equipment.
“Being the first centre in the UK, and only the third in the world, to use this mixed reality technology is a further demonstration of the high regard internationally in which the Institute is held.”
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