Neurosurgery: safer operations with the operating table that rotates with the patient

An operating table that rotates with the patient, supports weights of up to 300 kilos, and guarantees maximum safety and precision thanks to an electromechanical system that adjusts head and neck and immediate visualisation tools. It happens at the 'Di Venere' hospital in Bari where this operating table has been designed and installed for neurosurgery and spine surgery, both traumatic and degenerative.

The main innovation - particularly suitable for patients with degenerative diseases of the spine, deformities, vertebral instability or who have to undergo complex operations such as arthrodesis - is in the possibility of hooking and rotating them within the structure, positioning them in the most suitable way for the pathology to be treated. Manual transfer manoeuvres are thus eliminated, resulting in more stable positioning throughout the operation. This platform, called Osi Trios, allows the patient to move smoothly between different positions - prone, supine and lateral - ensuring greater operational continuity and better image quality during surgery. In polytraumatised patients, it also allows surgery on several segments of the spine, such as cervical and lumbar, without changing the body posture.

"This table, the first of its kind introduced in Italy, is already operational," explains Bruno Romanelli, head of Neurosurgery at Di Venere, "and has been used in six operations in the last week, including a complex cervical fracture that required a double approach, posterior and anterior, with a controlled rotation of up to 180 degrees, performing the operation with maximum efficiency. The couch - which will further enhance neurosurgery activities at Di Venere, which performs 1,200 operations a year, half of which are spinal surgery - is completely radiolucent, allowing X-rays, fluoroscopy and intraoperative 3D imaging without moving the patient. This allows immediate control of the correctness of surgical manoeuvres and greater accuracy in navigation-guided procedures.