2 Neurosurgical Instrumentation
Book
Editors: Borba, Luis A. B.; de Oliveira, Jean G.
Title: Microsurgical and Endoscopic Approaches to the Skull Base
Subtitle: Anatomy, Tactics, and Techniques
Print ISBN: 9781626239661; Online ISBN: 9781684203772; Book DOI: 10.1055/b000000340
1. Edition © 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York
Subjects: Neurosurgery;Otorhinolaryngology, Phoniatrics, Audiology
Thieme Clinical Collections (English Language)
Abstract
Neurosurgical instrumentation is a field with which every member of the surgical team must be familiarized. This is even more important when considering skull base procedures, as working with deep approaches requires skillful handling of instruments. Neurosurgery significantly evolved in the last decades and aims to be as precise as possible. Nowadays the ability of image acquisition by the microscope allows the surgeon to accurately identify anatomical structures; and the instrument’s efficiency has also evolved. In order to perform high-quality neurosurgical procedures, it is mandatory to have appropriate knowledge of surgical instruments, especially microsurgical instruments. Complementary to an in-depth knowledge on how to operate, it is crucial to have advanced knowledge about with what instruments to operate. This chapter presents an overview of general microsurgery techniques and surgical instrumentation.
Key words
instrumentation - microsurgery - skull base - microscope - neuroendoscopy - bipolar coagulator - dissectors - needle holder - brain retractor - drill- 1 Sekhar LN, Bucur SD, Fuentes G. General techniques and instrumentation for cranial microsurgery. In: Sekhar LN, De Oliveira E, eds. Cranial Microsurgery: Approaches and Techniques. New York, NY: Thieme; 1999
- 2 Fukushima T, Nonaka Y. Fukushima Manual of Skull Base Dissection. Raleigh, NC: AF-Neuro Video Inc; 1996
- 3 Misra BK, Chaudhuri P. The operating microscope. In: Ramamurthi R, Sridhar K, Vasudevan MC, eds. Textbook of Operative Neurosurgery. New Delhi, India: B. I. Publications Pvt Ltd; 2005
- 4 Shahinian HK, Kabil M, Jarrahy R, Thill MP. Endoscopic Skull Base Surgery: A Comprehensive Guide with Illustrative Cases. Los Angeles, CA: Humana Press; 2008
- 5 Cappabianca P, Cavallo LM, Divitiis E, eds. Endoscopic Pituitary and Skull Base Surgery: Anatomy and Surgery of the Endoscopic Endonasal Approach. Tuttlingen, Germany: EndoPress; 2013
- 6 Bettag M, Schäfer P, eds. Endoscopic Transnasal Surgery of the Skull Base: the Bettag/Schäfer Technique. Tuttlingen, Germany: Endopress; 2014
- 8 Rhoton AL Jr. Operative techniques and instrumentation for neurosurgery. In: Rhoton AL Jr, ed. Rhoton’s Cranial Anatomy and Surgical Approaches. Philadelphia, PA: Lippincott USA; 2008
- 9 Cohen-Gadol A. Skull Clamp Placement. The Neurosurgical Atlas. https://www.neurosurgicalatlas.com/volumes/principles-of-cranial-surgery/skull-clamp-placement. Published September 27, 2018. Accessed April 10, 2019
- 10 Cohen-Gadol A. Instrumentation. The Neurosurgical Atlas. https://www.neurosurgicalatlas.com/volumes/principles-of-cranial-surgery/instrumentation. Published September 27, 2018. Accessed April 10, 2019
- 11 Cohen-Gadol A. Preoperative Considerations, Instrumentation and Patient Positioning. The Neurosurgical Atlas. https://www.neurosurgicalatlas.com/volumes/cranial-base-surgery/preoperative-considerations-instrumentation-and-patient-positioning. Published September 29, 2018. Accessed April 10, 2019
- 12 Vellimana AK, Sciubba DM, Noggle JC, Jallo GI. Current technological advances of bipolar coagulation.. Operative Neurosurgery 2008; 64: 11-19 (PMID: NOT_FOUND;INVALID_JOURNAL)