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Minim Invasive Neurosurg 2002; 45(1): 62-64
DOI: 10.1055/s-2002-23587
Technical Note
Georg Thieme Verlag Stuttgart · New York

A New Instrument Facilitates the Needle Trephination Procedure: Technical Note

O.  Heese1 , A.  Sepehrnia1
  • 1Department of Neurosurgery, Medical University of Lübeck, Lübeck, Germany
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Publication History

Publication Date:
02 April 2002 (online)

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Abstract

Introduction: Percutaneous needle trephination is a well known neurosurgical procedure. The aim of this study was to develop a new instrument, which allows a stable fixation of an 18-G spinal needle in order to improve handling and precision of percutaneous needle trephinations. Methods and Instrumentation: The needle stabilizer was designed in a T-shape fashion morphologically similar to a corkscrew. The length of the uncovered needle tip is adjustable for individual requirements. Results: Using the new needle stabilizing device a total number of 18 percutaneous needle trephinations were performed for the following indications: subdural hematoma [8], epidural hygroma [4], bifrontal air accumulation [3], superficial tumor cyst, superficial brain abscess [1]. No complications have been observed. Discussion: Our experience using this device shows that the modified technique fulfils criteria for clinical acceptance such as simplicity, low risk, reliability and cost effectiveness.

Key words

Needle Trephination - Technique - Subdural Hematoma

References

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O. Heese,M. D. 

Department of Neurosurgery · University Hospital Eppendorf

Martinistraße 52

20246 Hamburg · Germany

Phone: +49-40-42803-3750

Fax: +49-40-42803-4596

Email: oliverheese@hotmail.com