Fundamentals of Operative Techniques in NeurosurgeryE. Sander Connolly The ideal surgical companion to Greenberg's Handbook of Neurosurgery, this portable guide offers descriptions of all the major operative procedures encountered in the practice of neurosurgery. Covering every aspect of the field from supplies to procedural steps, the book features hundreds of illustrations and tables highlighting indications, prerequisite imaging studies, operating room set-up, and more! This book is a must for residents studying for boards or in need of a quick reference in their daily practice. |
Contents
Extratemporal Nonlesional Epilepsy Surgery | 533 |
Corpus Callosotomy | 538 |
Cingulotomy | 544 |
Stereotactic MicroelectrodeGuided Pallidotomy Pallidal or Subthalamic Nucleus STN Deep Brain Stimulation DBS | 550 |
Stereotactic Thalamotomy or Thalamic DeepBrain Stimulation | 557 |
E Cranial Trauma Procedures | 563 |
Subdural Hematomas | 568 |
Repair of Cerebrospinal Fluid Leak | 575 |
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20 | |
22 | |
24 | |
31 | |
32 | |
35 | |
41 | |
43 | |
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57 | |
59 | |
71 | |
79 | |
81 | |
86 | |
88 | |
91 | |
93 | |
103 | |
Endoscopes and Endoscopic Instruments | 114 |
Endovascular Instruments and Equipment | 121 |
Biografts Implants and Substitutes | 122 |
Cervical Collars Halo Systems Orthoses and Traction Equipment | 127 |
Head Clamps Skull Pins and Tongs | 132 |
Headlights and Light Sources | 135 |
Implantable Stimulators and Pumps | 139 |
Diagnostic and Intraoperative Imaging | 141 |
Surgical Loupes | 145 |
Microscopes | 147 |
ICP CBF Neurophysiological and Other Monitoring Equipment | 149 |
Operating Tables and Accessories | 152 |
Plating and Fixation Systems | 158 |
Radiosurgery and Radiation Therapy Equipment | 167 |
Retractors and Retraction Systems | 170 |
Stereotactic and ImageGuided Surgery Equipment | 179 |
Suction TubesCannulas | 182 |
Sutures Skin Staples and Scalp Clips | 188 |
Ultrasonic Aspirators Lasers and Lesioning Equipment | 193 |
Intra and Extracranial Procedures | 195 |
General Craniotomy Techniques | 196 |
Pterional Craniotomy | 202 |
Lateral Suboccipital Approach | 210 |
Subtemporal Approach Intra or Extradural | 216 |
Temporal Approach | 221 |
Presigmoid Approach | 228 |
Far Lateral Approach to the Skull Base | 235 |
Transsphenoidal Approach | 242 |
SupracerebellarInfratentorial Approach | 250 |
Transcallosal Approach | 255 |
Orbitozygomatic Approach | 263 |
Dolenc Approach | 268 |
Frontal Approach | 276 |
Occipital Approach | 282 |
Reoperative Craniotomy | 286 |
Trauma Flap | 290 |
Superior Parietal Lobule Approach | 296 |
B Cranial Vascular Procedures | 300 |
Posterior Communicating Artery Aneurysm | 312 |
Ophthalmic Artery Aneurysm | 322 |
Middle Cerebral Artery Aneurysm | 331 |
Vertebral Artery Aneurysm | 339 |
Basilar Artery Aneurysm | 347 |
Distal Berry and Nonberry Aneurysms | 356 |
Cortical Arteriovenous Malformations | 363 |
Subcortical Arteriovenous Malformations | 375 |
Dural Intracranial Arteriovenous Malformations | 381 |
Supratentorial Cavernous Malformations | 387 |
Infratentorial Cavernous Malformations | 392 |
Carotid Endarterectomy | 396 |
Superficial Temporal ArteryMiddle Cerebral Artery Bypass | 403 |
Reversed Saphenous Vein Bypass | 409 |
Intracerebral Hematoma Evacuation | 416 |
Convexity and Parasagittal Meningiomas | 421 |
Foramen Magnum Meningiomas | 426 |
Sphenoid Wing Meningiomas | 430 |
Tuberculum Sellae Planum Sphenoidale and Olfactory Groove Meningiomas | 436 |
Tentorial Meningiomas | 440 |
GliomaFrontal | 444 |
GliomaTemporal | 448 |
GliomaOccipital | 452 |
GliomaParietal | 455 |
Stereotactic Biopsy for Basal Ganglia and Deep Lesions | 459 |
GliomaBrain Stem | 464 |
GliomaHypothalamic Region | 468 |
Acoustic Neuromas Vestibular Schwannomes | 472 |
Craniopharyngioma | 479 |
PinealRegion Tumors | 483 |
Colloid Cysts | 487 |
Esthesioneuroblastoma | 491 |
OpticNerve Glioma | 494 |
Metastatic Tumor | 499 |
Cranial Functional Procedures | 504 |
Subdural Grid Placement | 513 |
Stereotactic Placement of Temporal Depth Electrodes | 520 |
Neocortical Mapping and Awake Operations | 525 |
Gunshot Wounds to the Head | 579 |
F Cranial Infection Procedures | 584 |
Intracranial Abscess | 587 |
Neurocysticercosis | 590 |
Neurosurgical Management of Toxoplasmosis | 594 |
G Hydrocephalus Procedures | 597 |
Ventriculoperitoneal ShuntPrimary | 604 |
Ventriculoperitoneal ShuntRevision | 611 |
Ventriculoatrial Shunt | 614 |
Ventriculopleural Shunt | 621 |
External Ventricular Drain Ventriculostomy | 627 |
Ventricular Access Device | 635 |
H Other Cranial Procedures | 639 |
Cranioplasty | 642 |
Spinal Procedures | 645 |
Transoral Approach | 646 |
Suboccipital Approach | 654 |
Posterior Cervical Approach | 658 |
Anterior Cervical Approach for Diskectomy Corpectomy and Arthrodesis | 665 |
Posterior Thoracic Approach | 674 |
Retropleural Thoracotomy | 679 |
Costotransversectomy | 685 |
Transthoracic Thoracotomy | 691 |
Thoracoscopic Diskectomy | 697 |
Retroperitoneal Approach | 701 |
Posterior Lumbar Approach | 707 |
Dorsal Sacrectomy | 711 |
B DegenerativeDisk Procedures | 715 |
Lumbar Stenosis Decompression | 724 |
Posterior Cervical Diskectomy | 730 |
Cervical Decompression | 735 |
Spinal Vascular Procedures | 741 |
Spinal Arteriovenous Fistulas | 746 |
Spinal Cavernous Malformations | 751 |
Spinal Tumor Procedures | 754 |
Intramedullary Ependymoma | 759 |
Intramedullary Lipoma | 764 |
Intramedullary Teratoma | 768 |
Other Intramedullary SpinalCord Lesions | 773 |
Spinal Neurofibromas and Schwannomas | 777 |
Spinal Meningiomas | 782 |
Spinal Metastatic Tumors | 785 |
E Spinal Functional Procedures | 789 |
Implantable Pumps | 792 |
Thoracoscopic Sympathectomy | 795 |
Cordotomy | 799 |
F Spinal Trauma Procedures | 803 |
G Spinal Infection Procedures | 807 |
H Other Spinal Procedures | 810 |
Spinal FusionInstrumentation | 814 |
IliacCrest Graft Harvesting | 818 |
Odontoid Screw Placement | 823 |
Occipitocervical Fusion | 828 |
C1C2 Fusion | 832 |
Anterior Cervical Plating | 838 |
Thoracolumbar Instrumentation | 845 |
Cage Lumbosacral Interbody Fusion | 853 |
Pediatric Procedures | 859 |
Vein of Galen Malformations | 860 |
Superficial Temporal ArteryMiddle Cerebral Artery Bypass and Saphenous External Carotid ArteryMiddle Cerebral Artery Bypass | 865 |
EDAS | 871 |
B Pediatric Developmental Procedures | 879 |
Myelomeningocele Repair | 883 |
Pediatric Spinal Procedures | 888 |
Posterior Fossa Decompression for Chiari Malformations | 891 |
Pediatric Cranial Synostosis Procedures | 898 |
Coronal Synostosis | 903 |
Metopic Synostosis | 909 |
E Pediatric FunctionalEpilepsy Procedures | 915 |
F Pediatric Trauma Procedures | 920 |
G Other Pediatric Procedures | 924 |
Endovascular Procedures | 929 |
Percutaneous Retrograde Femoral Artery Puncture | 930 |
Endovascular Treatment of Intracranial Aneurysms | 937 |
Endovascular Treatment of Arteriovenous Malformations | 942 |
Endovascular Treatmeat of Intracranial and Spinal Tumors | 947 |
Endovascular Treatment of Carotid Cavernous Fistulas | 952 |
Endovascular CarotidArtery Occlusion | 957 |
Radiosurgical Procedures | 963 |
GammaKnife Radiosurgery for Arteriovenous Malformations | 964 |
GammaKnife Radiosurgery for Tumors | 968 |
GammaKnife Radiosurgery for Trigeminal Neuralgia | 971 |
Peripheral Nerve Procedures | 975 |
Brachial Plexus Exploration | 976 |
UlnarNerve Decompression | 981 |
CarpalTunnel Release | 984 |
Muscle and Peripheral Nerve Biopsy | 991 |
Minor Procedures | 999 |
Lumbar Puncture Spinal Tap | 1000 |
Lumbar Subarachnoid Drain Spinal Drain | 1005 |
Shunt Tap | 1008 |
Shunt Externalization | 1011 |
Arterial Catheterization | 1013 |
Central Venous Catheterization | 1016 |
Appendix | 1022 |
Index | 1033 |
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Common terms and phrases
Aesculap Anesthetic Issues aneurysm angled antibiotics anticonvulsants approach artery avoid bayonet bipolar cautery blade bleeding bone flap brain burr hole carotid catheter cautery cautery and Bovie cerebellar cervical clinoid closure Codman cortical cranial craniotomy curette decompression diskectomy dissection distal drain dura dural Dural Opening elevated exposure forceps fossa frontal Gelfoam given 30 minutes graft headlight Chap hematoma hemostasis high-speed drill hydrocephalus injury INTRAOPERATIVE Positioning irrigating Jarit lateral lesions lobe MANAGEMENT PEARLS DR Mayfield head holder medial microsucker midline muscle neck nerve Operating Room Setup oxacillin patient placed placement posterior POSTOPERATIVE PREOPERATIVE Operative Planning prior to incision proximal pterional removed resection retraction retractor review imaging rongeur sagittal sinus Scrub and Prep shunt skin spinal stereotactic stereotaxy Sterile Scrub straight tip suction tubes superior superior sagittal sinus surgical Surgicel temporal temporal lobe temporalis muscle titanium tray Chaps tumor vein venous ventricle ventricular vertebral artery vessel Vicryl Yasargil