Erschienen in:
13.04.2018 | How I Do it - Vascular Neurosurgery - Aneurysm
Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it
verfasst von:
Alessio Chiappini, Francesco Marchi, Michael Reinert, Thomas Robert
Erschienen in:
Acta Neurochirurgica
|
Ausgabe 6/2018
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Abstract
Background
Surgery has been in a huge development where the aim is to achieve same or better results with less complication in a less invasive way; these minimal approaches can be applied in a very safe way to aneurysmal neurosurgery.
Method
Images are studied to optimize the patient positioning and the surgical roadmap. After the positioning, the skin incision, craniotomy, and dura incision are performed and intradural lesion is reached. A watertight closure is performed under the microscope.
Conclusion
The keyhole approach requires some adaption from the side of the surgeon and can be performed only in cases envisioned to have no increased risk for the patient.