EXPORT CITATION

Chapter-23 Getting out of Trouble and Complication Avoidance in Microsurgery

BOOK TITLE: Neurovascular Surgical Techniques

Author
1. Chen Fangxiang
2. Quinn Tanya M
3. Elbabaa Samer K
4. Abdulrauf Saleem SI
ISBN
9789350900888
DOI
10.5005/jp/books/11824_23
Edition
1/e
Publishing Year
2013
Pages
4
Author Affiliations
1. Saint Louis University Hospital, 3635 Vista Avenue, 5th Floor Deslodge Tower, St. Louis, MO, USA
2. Saint Louis University Hospital, St. Louis, MO, USA
3. Saint Louis University School of Medicine, Saint Louis, Missouri, USA
4. Saint Louis University, Saint Louis, Missouri, USA
Chapter keywords
Microneurosurgery, neurosurgical three-dimensional anatomy, surgical traumatization, cerebral aneurysms, intra-axial tumors, cerebral arteriovenous malformations, skull base tumors

Abstract

The principles of microneurosurgery are based on a number of factors that are critical to achieving good outcomes and avoiding complications. A thorough understanding of neurosurgical three-dimensional (3D) anatomy, a high level of training allowing the surgeon to obtain optimal manual dexterity, and sound intraoperative judgment based on knowledge and experience all these constitute to the principles of operative neurosurgery and therefore form the cornerstones of microneurosurgical procedures. Microsurgical techniques have a number of advantages: First, the surgical field can be magnified so that working in deep and small corridor becomes easy; Second, a 3D view in the surgical field helps to obtain better topographical anatomy; Third, by adjusting the microscope at variable angles enables the surgeon to remove large lesions with minimal surgical traumatization to neighboring tissues; and Finally, better cosmetic outcomes can be achieved with minimally invasive microsurgical approaches. The chapter explains how to avoid complications during microsurgery in cerebrovascular, intra-axial tumors and skull base surgery.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved