Microsurgery

Microsurgery

Applied to Neurosurgery

1st Edition - January 1, 1969

Write a review

  • Author: M. G. Yaşargil
  • eBook ISBN: 9781483266343

Purchase options

Purchase options
DRM-free (PDF)
Sales tax will be calculated at check-out

Institutional Subscription

Free Global Shipping
No minimum order

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




Product details

  • No. of pages: 246
  • Language: English
  • Copyright: © Academic Press 1969
  • Published: January 1, 1969
  • Imprint: Academic Press
  • eBook ISBN: 9781483266343

About the Author

M. G. Yaşargil

Ratings and Reviews

Write a review

There are currently no reviews for "Microsurgery"