01 February 2021

Augmented Reality for surgeons

For the first time in Russia. Surgeons of the First Honey operated on a patient wearing augmented reality glasses

"Dr. Peter"

As they told "Dr. Peter" in the First honey, special glasses allow the surgeon to simultaneously see not only the wound, but also the so-called safe zone. This means to reduce the risks of life–threatening complications for the patient - for example, damage to large vessels of the neck.

With the help of augmented reality technology, surgeons of PSPbSMU im. Pavlov removed the patient's median cyst of the neck with a fistula. As explained to "Dr. Peter" by the vice-rector for Academic Affairs of PSPbSMU. Pavlova, chief dentist of St. Petersburg, chief maxillofacial surgeon of the Northwestern Federal District Andrey Yaremenko, this disease refers to congenital malformations, but manifests itself already in adulthood with a "small rounded ball on the neck." It occurs quite often and, as a rule, in women. 

fistula.jpg

Due to a person's illness, pain periodically torments, suppuration occurs, it happens that the disease relapses and sends a person to a hospital bed. According to the specialist, operations to remove the neck cyst belong to the category of difficult to perform. During the intervention, there is a high risk of hurting anatomically important organs – large vessels of the neck, nerves, larynx, the probability of death is high. Augmented reality glasses allow the surgeon to simultaneously see not only the wound itself, but also the location of all important organs.

– The surgeon sees the security zone, and not just guesses about it or looks at the computer monitor. In surgery, it will be a revolutionary story," Andrei Yaremenko explained in a conversation with "Doctor Peter".

The application for augmented reality glasses is a joint development of the Department of Maxillofacial Surgery of PSPbSMU and specialists of the Institute of Applied Mathematics and Mechanics of Peter the Great St. Petersburg Polytechnic University (SPbPU). According to the Polytechnic University, the world's first spinal surgery using augmented reality technologies was performed quite recently – in July 2020 at the Rush Clinic in the USA. She appeared in St. Petersburg just six months later. With the help of a new development, a hologram of the internal structure of a certain area (skull, spine, cervical region) is built according to the patient's MRI and CT. At the same time, it is possible to visualize not only bone structures, but also soft tissues, vessels, benign and malignant tumors. This image is then fed to augmented reality glasses, and with the help of a marker system, it is rigidly "tied" to the patient's body. As a result, the surgeon gets the opportunity both during the planning of the operation and during its implementation to see the patient literally through.

The operation itself was performed by a team of surgeons led by Professor Nikolai Kalakutsky. As it became known to "Dr. Peter", it was held a week ago. Today the patient was discharged home.

As SPbPU added, the leading medical centers of the country have already become interested in the technology. So, in the near future, it is planned to perform an operation to remove a brain tumor at the NMIC. Almazova. The developers have preliminary agreements with the NMIC of Pediatric Traumatology and Orthopedics. Turnera.

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