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Keyhole Concept in Neurosurgery

Keyhole Concept in Neurosurgery
Author: Axel Perneczky
Publisher: Thieme
Total Pages: 281
Release: 1999
Genre: Endoscopic surgery
ISBN: 0865777098

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Written by leading experts in the field, this book offers neurosurgeons instruction in a full range of procedures based on the keyhole concept. The book uses 25 operative cases-all illustrated in precise detail-to show how keyhole techniques can be applied in a wide variety of clinical situations.


Keyhole Approaches in Neurosurgery

Keyhole Approaches in Neurosurgery
Author: Axel Perneczky
Publisher: Springer Science & Business Media
Total Pages: 295
Release: 2009-12-18
Genre: Medical
ISBN: 321169501X

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Technological progress in neurosurgery - preoperative investigation of the exact anatomy of the patient, detailed planning of the procedure, and use of endoscopes and videosurgery – have made approaches for intracranial microsurgical procedures smaller compared to historically standard neurosurgical approaches. Building on the previous works "Endoscopic Anatomy for Neurosurgery" and "Keyhole Concept in Neurosurgery," this book offers a systematic overview of keyhole approaches in the daily work of a neurosurgeon. The approaches, strategies, indications and technical details described here are complemented by anatomical pictures, schemes, and artists’ illustrations, and analyzed with regard to geometric boundaries and the topography of the target structures.


Principles and Practice of Keyhole Brain Surgery

Principles and Practice of Keyhole Brain Surgery
Author: Charles Teo
Publisher: Thieme
Total Pages: 274
Release: 2015-04-29
Genre: Medical
ISBN: 3131758619

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A step-by-step guide to modern techniques of keyhole brain surgery Developed 20 years ago by leading innovators in the field, the keyhole concept of brain surgery has become an integral part of the practice of neurosurgery. This timely and comprehensive book covers the thinking, philosophy, and techniques of modern keyhole brain surgery, including a realistic assessment of its benefits and limitations. Written by expert practitioners and highlighted by vivid surgical illustrations and procedural videos, Principles and Practice of Keyhole Brain Surgery functions as an experienced mentor working side by side with neurosurgeons as they master the techniques. Special Features: Introduces the basic principles of the keyhole approach, including the practical, technical, and logistical aspects of planning procedures and operating through small openings Beautifully illustrated with nearly 900 endoscopic images, diagrams, surgical drawings, and operative photographs, many showing step-by-step procedures Details the pivotal role of the endoscope in keyhole brain surgery and its ability to provide multiple angles of visualization, including a useful catalog of clinical situations where the endoscope has proven most effective Demonstrates contemporary keyhole approaches (e.g. the eyebrow/sub-frontal approach) in procedures for supratentorial intra-axial brain tumors, tumors of the cribriform plate and orbit, parasellar masses, craniopharyngiomas, tumors of the middle fossa and cavernous sinus and many other conditions in the cranial base Offers more than 100 procedural videos on the Thieme's MediaCenter, narrated by the authors and aligned to chapters in the book for an unparalleled learning resource Providing all the information necessary to achieve surgical goals through well placed, smaller openings—with the added benefits of shorter procedures, fewer wound complications and better patient outcomes—Principles and Practice of Keyhole Brain Surgery is essential for every neurosurgeon in practice today.


Keyhole Approaches in Neurosurgery

Keyhole Approaches in Neurosurgery
Author: Axel Perneczky
Publisher: Springer
Total Pages: 301
Release: 2008-03-25
Genre: Medical
ISBN: 9783211838853

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Technological progress in neurosurgery - preoperative investigation of the exact anatomy of the patient, detailed planning of the procedure, and use of endoscopes and videosurgery – have made approaches for intracranial microsurgical procedures smaller compared to historically standard neurosurgical approaches. Building on the previous works "Endoscopic Anatomy for Neurosurgery" and "Keyhole Concept in Neurosurgery," this book offers a systematic overview of keyhole approaches in the daily work of a neurosurgeon. The approaches, strategies, indications and technical details described here are complemented by anatomical pictures, schemes, and artists’ illustrations, and analyzed with regard to geometric boundaries and the topography of the target structures.


Keyhole Approaches in Neurosurgery

Keyhole Approaches in Neurosurgery
Author: Axel Perneczky
Publisher:
Total Pages: 300
Release: 2010-02
Genre: Nervous system
ISBN: 9783211720127

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Enormous technological developments within and around modern neurosurgery, such as highly sophisticated preoperative imaging of the individual pathoanatomical situation, tailored planning of the operative procedure, routine application of neuronavigation devices and the intraoperative use of endoscopies, have enabled neurosurgeons to perform limited keyhole approaches, minimizing the craniotomy related intraoperative trauma. In this volume illustrative operative cases are demonstrated with practical application of minimal invasive approaches. The cases represent skull base tumors and vascular lesions -each of them leading to extended discussion on the possible surgical solution operating with the concept of keyhole strategy. Patient history, medical reports and neurological appearance are accurately described. Special attention is given to preoperative neuroradiological diagnostics. In particular, computer analysis of the imaging data with 3D representation of the pathoanatomical situation is presented, offering useful discussion on different approach possibilities. After tailored planning, minimally invasive keyhole surgery with well documented intra- and postoperative course of each patient is presented in detail.


Neurovascular Surgery

Neurovascular Surgery
Author: Julius July
Publisher: Springer
Total Pages: 288
Release: 2018-09-27
Genre: Medical
ISBN: 9811089507

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This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.


Endoscopic and Keyhole Cranial Base Surgery

Endoscopic and Keyhole Cranial Base Surgery
Author: James J. Evans
Publisher: Springer
Total Pages: 396
Release: 2019-04-02
Genre: Medical
ISBN: 3319643797

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The first two sections of this text address endoscopic and keyhole surgical procedures for cranial base and deep brain structures. These sections provide a comprehensive, state-of-the art review of this minimally invasive field and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in cranial base surgery. The philosophy, techniques, indications and limitations of endoscopic and keyhole cranial base surgery are covered in detail. This reference includes a discussion of the basic principles of these approaches as well as the preoperative planning, intraoperative pearls, and reconstruction techniques. The thorough descriptions of the practical and technical aspects are accompanied by extensive illustrations, figures and operative images. Extending beyond the technical details of these procedures, this text provides a third section that focuses on a thorough analysis and comparison of the endoscopic, keyhole and traditional open approaches to specific intracranial regions. Utilizing a “target-based” approach, the utility of each surgical technique is evaluated in regard to accessing pathology of the anterior, middle and posterior fossa cranial base as well as the deep central regions of the brain. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. Endoscopic and Keyhole Cranial Base Surgery will be a valuable resource to specialists in optimizing surgical results and improving patient outcomes.


Minimally Invasive Skull Base Surgery

Minimally Invasive Skull Base Surgery
Author: Moncef Berhouma
Publisher: Nova Science Publishers
Total Pages: 0
Release: 2013-09
Genre: Computer-assisted surgery
ISBN: 9781628085679

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Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.


Minimally Invasive Skull Base Surgery

Minimally Invasive Skull Base Surgery
Author: Moncef Berhouma
Publisher: Nova Science Publishers
Total Pages: 440
Release: 2014-05-14
Genre: Science
ISBN: 9781628085884

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Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.