Microsurgery - 1st Edition - ISBN: 9781483227566, 9781483266343

Microsurgery

1st Edition

Applied to Neurosurgery

Authors: M. G. Yaşargil
eBook ISBN: 9781483266343
Imprint: Academic Press
Published Date: 1st January 1969
Page Count: 246
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Description

Microsurgery Applied to Neurosurgery focuses on microsurgical approaches to cerebrospinal lesions, including plastic surgery, suturing techniques, instruments for microsurgery, and microsurgical operations. The manuscript first offers information on the history of microsurgery and the operating microscope. Discussions focus on bipolar electric coagulation, plastic surgery, peripheral nerves, clinical application, binocular diploscope, automatic microscope stand, sterile covering of the microscope, and magnification. The text also elaborates on the instruments for microsurgery and suturing techniques.
The publication takes a look at experimental microsurgical operations in animals and reconstructive and constructive surgery of the cerebral arteries in man. The manuscript also ponders on intracranial tumors and transnasal-transsphenoidal approach to the pituitary gland. Topics include transsphenoidal approach, suboccipital transmeatal approach, spinal tumors, and preoperative radiological study.
The manuscript is a dependable reference for health professionals and readers interested in microsurgery.

Table of Contents


Table of Contents

Foreword

Introduction

References

Chapter 1 A History of Microsurgery

Microangeional or Microvascular Surgery

Neurosurgery

Bipolar Electric Coagulation

Microinstruments

Peripheral Nerves

Plastic Surgery

Clinical Application

References

Chapter 2 A. The Operating Microscope

The Operating Microscope and its Attachments

The Binocular Operating Microscope from the Surgical Standpoint

The Binocular Diploscope

The Electrically Driven Binocular Monoscope (ZEISS I)

The Zoom Microscope (ZEISS II)

The Automatic Microscope Stand

Directions for Use of the Operating Microscope

The Objective

The Eyepiece (ocular lens)

Positioning of the Microscope at the Start of the Operation

The Eyepiece Tube (ocular tube)

Magnification

Sterile Covering of the Microscope

Attachment for Still and Cine Cameras

Technical Details of the Television Camera for Operating Microscopes

References

B. Instruments for Microsurgery

Forceps

Scissors

Clamps

Curettes and Dissectors

Forceps and Punches

Scalpels and Hooks

Needle Holder

Probes

Irrigator

Counterpressor ('micro-fork')

Retractors

Suckers

Drills

Swab Material

Rubber Strips (Dam)

Ligature Carrier

Bipolar Coagulation in Microsurgery

The Author's Experience with the Bipolar Coagulator of Malis

Instrumentation for Transsphenoidal Microsurgery of the Pituitary

Instrumentation for Otoneurosurgery

References

Plastic Tubes and Plastic T-Tubes

References

C. Suturing Techniques

Stapler

References

Adhesives

References

Microlaser and Micro-Electrocoaptation

References

Suture Material

Size of Thread

Needles

Suture Technique

References

D. Future Developments

The Microscope

Combination of Microscope, Television and X-ray Image Amplifiers

Instruments

References

Chapter 3 Experimental Microsurgical Operations in Animals

Special remarks

Surgical Exercises on Rats

Carotid Artery

Half-ring bypass graft

Aorta and Vena Cava

Operations on the Femoral Artery (Rabbit, Cat)

Longitudinal Arteriotomy

Introduction of the Tube

Suture Technique

End-to-end Anastomosis (Termino-Terminal Anastomosis)

End-to-side Anastomosis (Termino-Lateral Anastomosis)

Duplication

Bridge Transplantation (Interposition)

Operations on the Common Carotid Artery (Rabbit, Cat)

Elaboration of Work Conditions

Transcervical-transclival Exploration of the Basilar Artery in the Rabbit, Cat and Do

Follow-up Angiography

Autopsy

Operations on Rhesus Monkeys: Transoral Clivectomy

Operations in the Middle Cerebral Artery (Dog)

Extracranial-intracranial Anastomoses: Anastomosis between the Superficial Temporal

Artery and the Middle Cerebral Artery (Dog)

Bypass between the Common Carotid Artery and the Middle Cerebral Artery (Dog)

Pre- and Postoperative Management and Anesthesia in Laboratory Animals

Rabbits

Dogs

Follow-up Angiography

Summary of the Surgical and Physiological Problems of Vascular Surgery

References

Chapter 4 Reconstructive and Constructive Surgery of the Cerebral Arteries in Man

A. The Cerebral Vasculature

Nutrition

The Relationship between Morphology and Flow

References

B. Diagnosis and Indications for Operations in Cerebrovascular Occlusive Disease

Reconstructive Operations on the Cerebral Arteries

Constructive Operations on the Cerebral Blood Vessels

References

C. Aneurysms, Arteriovenous Malformations and Fistulae

1. Operations on Saccular Aneurysms

2. Operations on Intracranial Arteriovenous Malformations

References

3. Operations on Caroticocavernous Fistulae

References

Chapter 5 A. Intracranial Tumors

Sellar and Parasellar Tumors

The Transsphenoidal Approach

The Subfrontal Approach

Craniopharyngioma

Sphenoid-wing Meningiomas

Clivus Tumors

Acoustic Neurinomas

Subtemporal-transpetrosal Approach

Transtentorial Approach

Translabyrinthine Removal of the Relatively Small Tumor

Combined Translabyrinthine and Suboccipital Approach for Larger Tumors

Suboccipital-transmeatal Approach

Other Tumors of the Posterior Fossa

References

B. Cranial Nerve Lesions

Trigeminal Neuralgia

Transtentorial Approach

Spasmodic Torticollis

References

Chapter 6 A. Vertebral Column and Spinal Cord Lesions

Spinal Arteriovenous Malformation

Spinal Tumors

Extradural Tumors

Intradural-Extramedullary Tumors

Cauda Equina Tumors

Meningocele-Meningomyelocele

Intramedullary Tumors

References

Cervical Disc Herniation

B. Peripheral Nerve Lesions

References

Chapter 7 Transnasal-transsphenoidal Approach to the Pituitary Gland (J. Hardy)

Introduction

Preoperative Radiological Study

The Sellar Type

The Presellar Type

The Conchal Type

Preparation and Positioning

Techniques

The Subnasal Midline Transsphenoidal Approach

Microsurgical Selective Removal of Intrapituitary Microadenoma

Summary

References

Chapter 8 Oto-neurosurgical Operations: Transtemporal Extralabyrinthine Operations on the Internal Auditory Canal, the Eighth and the Seventh Cranial Nerves

The transtemporal Extralabyrinthine Approach to the Internal Auditory Canal

References

A. Exploration of the Internal Auditory Canal in Cases of Suspected Intrameatal Acoustic Neurinoma

Conclusion

References

B. Operations on the Vestibular Nerve 203

1. Selective Sectioning of the Vestibular Nerve (Vestibular Neurotomy)

Conclusion

2. Excision of a Segment of the Vestibular Nerve, Including the Vestibular Ganglion(Vestibular Neurectomy)

Conclusion

References

C. Operations on the Cochlear Nerve

Selective Sectioning of the Cochlear Nerve

Conclusion

References

D. Transposition of a Pedicle Flap of Temporalis Muscle over the Exposed Internal Auditory Canal (Meato-Myo-synangiosis)

Conclusion

References

E. Operations on the Facial Nerve

Exposure of the Meatal and Labyrinthine Segments of the Facial Nerve

Conclusion

References

Chapter 9 Anesthesia in Microsurgical Operations on the Central Nervous System

A. General

Heart and Circulation

The Prevention of Edema

Preoperative Prevention of Recurrent Hemorrhage from Aneurysms and Vascular Malformations

B. Anesthetic Techniques

C. Special Tasks for the Anesthetist

Induced Hypotension

Induced Hypertension

Induced Hypothermia

D. Special Subjects

Aneurysms

Arteriovenous Malformations

Acoustic Neurinomas

Craniopharyngioma

Occlusive Cerebrovascular Disease

Spasmodic Torticollis

Spinal Arteriovenous Malformations and Intramedullary Tumors

References

Appendix

List of Drugs

Manufacturers and Suppliers of Microsurgical Equipment

Microsurgical Outfit

Author Index

Index




Details

No. of pages:
246
Language:
English
Copyright:
© Academic Press 1969
Published:
Imprint:
Academic Press
eBook ISBN:
9781483266343

About the Author

M. G. Yaşargil

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