The authors describe a new technique for the microsurgical cannulation of the thoracic duct. A small silastic tube is utilized which can be joined to a subcutaneously implanted one-way flow, CSF, Ommaya-type reservoir. Extended drainage is avoided. No deletion or alteration of major venous channels occurs. Lymph collection is accomplished by tapping the subcutaneous reservoir with a small-bore needle.
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http://dx.doi.org/10.1016/0022-1759(78)90165-5 | DOI Listing |
World Neurosurg
November 2024
Department of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia.
Background: Obtaining a definitive pathological diagnosis from brain tissue sampling was challenging due to the small, nonrepresentative sample. This study introduced a novel syringe technique for brain biopsy aimed at enhancing diagnostic accuracy by obtaining core tissue samples that better represent the targeted tissue.
Methods: The 10 patients with atypical brain lesions underwent the syringe biopsy.
Surg Neurol Int
September 2024
Neural Dynamics and Modulation Lab, Cleveland Clinic, Cleveland, United States.
Background: The two main treatments for spinal dural arteriovenous fistula (SDAVF) include microsurgical occlusion or endovascular embolization (i.e., the latter alone has high recurrence rates).
View Article and Find Full Text PDFAdv Tech Stand Neurosurg
September 2024
Global Gleneagle Hospital, Mumbai, India.
Objective: Endoscopic surgery has emerged in the recent years as an alternative to the conventional microsurgical approaches for removal of the deep-seated brain and intraventricular tumors. Endoport has enhanced the tumor access and visualization without any significant brain retraction. In this chapter, we describe the surgical technique of the endoscopic excision of the deep-seated intra-axial brain tumors using tubular retraction system with review of the literature.
View Article and Find Full Text PDFBiol Open
September 2024
Plastic, Reconstructive & Aesthetic Surgery Service, Sengkang General Hospital, Singapore 544886, Singapore.
Adv Tech Stand Neurosurg
July 2024
Department of Neurosurgery, Global Hospital, Mumbai, Maharashtra, India.
Objective: Transcortical approaches using a spatula-based retraction system have traditionally been used for the microsurgical resection of deep-seated intraventricular and parenchymal brain tumors. Recently, transparent cylindrical or tubular retractors have been developed to provide a stable corridor to access deeper brain lesions and perform bimanual microsurgical resection. The flexible endoports minimize brain retraction injury during surgery and, along with the superior vision of endoscopes, offer several advantages over standard microsurgery.
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