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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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