Cargando…

Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions

Background: In clinical outcome studies, patient input into the factors that drive higher satisfaction with lumbar minimally invasive spinal surgery (MISS) is rare. The skin incision is often the only visible consequence of surgery that patients can assess. The authors were interested in patients’ o...

Descripción completa

Detalles Bibliográficos
Autores principales: Quiring, Kimberly, Lorio, Morgan P., León, Jorge Felipe Ramírez, de Carvalho, Paulo Sérgio Teixeira, Fiorelli, Rossano Kepler Alvim, Lewandrowski, Kai-Uwe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305384/
https://www.ncbi.nlm.nih.gov/pubmed/37373867
http://dx.doi.org/10.3390/jpm13060878
_version_ 1785065720845959168
author Quiring, Kimberly
Lorio, Morgan P.
León, Jorge Felipe Ramírez
de Carvalho, Paulo Sérgio Teixeira
Fiorelli, Rossano Kepler Alvim
Lewandrowski, Kai-Uwe
author_facet Quiring, Kimberly
Lorio, Morgan P.
León, Jorge Felipe Ramírez
de Carvalho, Paulo Sérgio Teixeira
Fiorelli, Rossano Kepler Alvim
Lewandrowski, Kai-Uwe
author_sort Quiring, Kimberly
collection PubMed
description Background: In clinical outcome studies, patient input into the factors that drive higher satisfaction with lumbar minimally invasive spinal surgery (MISS) is rare. The skin incision is often the only visible consequence of surgery that patients can assess. The authors were interested in patients’ opinions about the type of lumbar paramedian minimally invasive spinal (MIS) skin incision employed during MISS and how novel skin incisions could impact patients’ interpretation of the outcome. The authors wanted to compare traditional lumbar stab incisions to three novel lumbar paramedian (MIS) skin incisions to determine if further study is indicated. The primary objective was to examine patient satisfaction and perceptions regarding lumbar paramedian MIS skin incisions. Methods: We reviewed the literature and conducted a patient opinion survey. Responses were solicited from back pain patients from a single chiropractic office. Survey questions regarding novel skin incisions for minimally invasive spine surgery (NSIMISS) were conceptualized. The three novel skin incisions were designed using Langer’s lines to reduce the total number of incisions; improve patient satisfaction; increase ease of surgical approach/fixation; and reduce operative time/radiation exposure. Results: One hundred and six participants were surveyed. When shown traditional lumbar paramedian MIS skin stab incisions, 76% of respondents indicated negative responses, n = 65. The majority of patients chose traditional stab incisions (n = 41) followed by novel larger intersecting incisions (n = 37). The least popular incisions were the novel horizontal (n = 20) and the novel mini oblique (n = 5) incisions. Female patients worried more than male patients about how their incision looked. However, there was no statistically significant difference (p value of 0.0418 via Mann–Whitney U one-tailed test and p value of 0.0836 via Mann–Whitney U two–tailed test). Patients less than or equal to 50 years of age worried more than patients over 51 years of age, which was statistically significant (p value of 0.0104 via Mann–Whitney U one-tailed test and p value of 0.0208 via Mann–Whitney U two-tailed test). Conclusions: Patients do have opinions on the type of lumbar paramedian MIS skin incision used. It appears that younger patients and female patients worry most about how the incision on their back looks after surgery. A larger population of patients across many demographics is needed to validate these findings.
format Online
Article
Text
id pubmed-10305384
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103053842023-06-29 Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions Quiring, Kimberly Lorio, Morgan P. León, Jorge Felipe Ramírez de Carvalho, Paulo Sérgio Teixeira Fiorelli, Rossano Kepler Alvim Lewandrowski, Kai-Uwe J Pers Med Article Background: In clinical outcome studies, patient input into the factors that drive higher satisfaction with lumbar minimally invasive spinal surgery (MISS) is rare. The skin incision is often the only visible consequence of surgery that patients can assess. The authors were interested in patients’ opinions about the type of lumbar paramedian minimally invasive spinal (MIS) skin incision employed during MISS and how novel skin incisions could impact patients’ interpretation of the outcome. The authors wanted to compare traditional lumbar stab incisions to three novel lumbar paramedian (MIS) skin incisions to determine if further study is indicated. The primary objective was to examine patient satisfaction and perceptions regarding lumbar paramedian MIS skin incisions. Methods: We reviewed the literature and conducted a patient opinion survey. Responses were solicited from back pain patients from a single chiropractic office. Survey questions regarding novel skin incisions for minimally invasive spine surgery (NSIMISS) were conceptualized. The three novel skin incisions were designed using Langer’s lines to reduce the total number of incisions; improve patient satisfaction; increase ease of surgical approach/fixation; and reduce operative time/radiation exposure. Results: One hundred and six participants were surveyed. When shown traditional lumbar paramedian MIS skin stab incisions, 76% of respondents indicated negative responses, n = 65. The majority of patients chose traditional stab incisions (n = 41) followed by novel larger intersecting incisions (n = 37). The least popular incisions were the novel horizontal (n = 20) and the novel mini oblique (n = 5) incisions. Female patients worried more than male patients about how their incision looked. However, there was no statistically significant difference (p value of 0.0418 via Mann–Whitney U one-tailed test and p value of 0.0836 via Mann–Whitney U two–tailed test). Patients less than or equal to 50 years of age worried more than patients over 51 years of age, which was statistically significant (p value of 0.0104 via Mann–Whitney U one-tailed test and p value of 0.0208 via Mann–Whitney U two-tailed test). Conclusions: Patients do have opinions on the type of lumbar paramedian MIS skin incision used. It appears that younger patients and female patients worry most about how the incision on their back looks after surgery. A larger population of patients across many demographics is needed to validate these findings. MDPI 2023-05-23 /pmc/articles/PMC10305384/ /pubmed/37373867 http://dx.doi.org/10.3390/jpm13060878 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Quiring, Kimberly
Lorio, Morgan P.
León, Jorge Felipe Ramírez
de Carvalho, Paulo Sérgio Teixeira
Fiorelli, Rossano Kepler Alvim
Lewandrowski, Kai-Uwe
Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title_full Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title_fullStr Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title_full_unstemmed Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title_short Patient Perceptions of Paramedian Minimally Invasive Spine Skin Incisions
title_sort patient perceptions of paramedian minimally invasive spine skin incisions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305384/
https://www.ncbi.nlm.nih.gov/pubmed/37373867
http://dx.doi.org/10.3390/jpm13060878
work_keys_str_mv AT quiringkimberly patientperceptionsofparamedianminimallyinvasivespineskinincisions
AT loriomorganp patientperceptionsofparamedianminimallyinvasivespineskinincisions
AT leonjorgefeliperamirez patientperceptionsofparamedianminimallyinvasivespineskinincisions
AT decarvalhopaulosergioteixeira patientperceptionsofparamedianminimallyinvasivespineskinincisions
AT fiorellirossanokepleralvim patientperceptionsofparamedianminimallyinvasivespineskinincisions
AT lewandrowskikaiuwe patientperceptionsofparamedianminimallyinvasivespineskinincisions