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Minimally Invasive Neurosurgery and Neurotraumatology

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Two meetings took place simultaneously in Nagoya in March 2005. Both the 6th International Congress of Minimally Invasive Neurosurgery (MIN) and the 3rd World Congress of the Academy for Multidisciplinary Neurotraumatology (AMN) were held at the same venue and successfully brought together experts in different areas of clinical neuroscience and neurosurgical subspecialties. With apparently quite different problems to deal with, both congresses had a lot in common. They brought specialists working in different areas closer together with the goals of applying the latest front-line instrumentation to the improvement of neurosurgical operative technique through less invasiveness and finding the optimal multidisciplinary approach for patients with neurotrauma, for whom neurosurgery alone is insufficient to ensure full recovery.

The ultimate goal of neurosurgeons is to minimize injury to the nervous system through their interventions and to create the best conditions for recovery. The concept of minimal invasiveness has evolved throughout the history of neurosurgery, blossoming in the last two decades as a result of technological improvements in neurosurgical instrumentation. These advances have been applied across all neurosurgical subspecialties and are not specific to any type of pathology or anatomical area. This has produced a revolutionary shift in neurosurgical practice in the operating room. However, minimal invasiveness does not directly translate as "neurosurgery of minimal surgical trauma" The design of minimally invasive instrumentation has rapidly produced many new types of tools, requiring new basic and clinical knowledge combined at times with totally different surgical skills. Only after achieving these skills can neurosurgeons embark on the application of these new surgical procedures. This combination of scientific information and know-how, as in the whole science and art of neurosurgery, has to be obtained with the guidance of a mentor. Only in the hands of the knowledgeable, skilled, and experienced can the goal of minimal trauma through minimal invasiveness be achieved.

The trend toward minimal invasiveness will continue to progress and result in the ongoing refinement of neurosurgery. Minimally invasive techniques have already become part of the basic training of neurosurgical specialists. The spread of this idea and its realization out of a few specialized centers, convincing disbelieving traditionalists and realistically instructing the willing to improve their neurosurgical technique, have been the objectives of this meeting.
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