논문 목록
12건 · 최신순-
Recent advances in synthetic virtual 3D endoscopy to assist in skull base surgery.
[INTRODUCTION] The advent of the operating microscope revolutionized neurosurgery by introducing stereoscopic visualization and enabling microneurosurgery. Endoscopy, in turn, brought a compact, wide-angle view through minimal access corrid…
-
Microneurosurgical Training on Simulators: The Zurich Microsurgery Lab Experience.
Training microsurgical and neurosurgical techniques by using multimodal simulators in the lab is a fundamental component of neurosurgical residency nowadays. The authors of this chapter describe a training curriculum for residents in neuros…
-
Contemporary adverse event profile of microsurgery for intracranial unruptured aneurysms in high-volume microsurgical centers: the international PRAEMIUM study.
[OBJECTIVE] Objective values on procedural risk are essential to facilitate informed consent and optimize clinical decision-making in patients with unruptured intracranial aneurysms (UIAs). While robust heuristics, such as the PHASES (popul…
-
Risk Models for Adverse Events in Microsurgery for Intracranial Unruptured Aneurysms.
[BACKGROUND AND OBJECTIVES] Preventive treatment of unruptured intracranial aneurysms (UIAs) requires assessment of treatment risks vs expected benefit. Although established scores exist to estimate rupture and growth risk, currently, no ex…
-
Multidisciplinary management of complex scalp wounds: an experience-based algorithm for involving plastic surgeons in complex neurosurgical wound closure.
[OBJECTIVE] In complex cranial wound closures, plastic and reconstructive surgeons provide advanced techniques to improve healing and reduce complications, including infection. Although this multidisciplinary approach shows promise, data su…
-
Treatment outcomes and the role of the DES scheme in the appropriate treatment selection for high-grade dural arteriovenous fistulas.
[OBJECTIVE] Endovascular and microsurgical treatment are viable options for the majority of Borden type III dural arteriovenous fistulas (dAVFs). The aim of this study was to examine treatment outcomes in a comparative analysis of endovascu…
-
Intensive 2-days training on perfused human placenta for microvascular anastomoses.
[BACKGROUND AND PURPOSE] We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants' microsurgical skills and rep…
-
Case report: Impact of mixed reality on anatomical understanding and surgical planning in a complex fourth ventricular tumor extending to the lamina quadrigemina.
[BACKGROUND AND IMPORTANCE] Tumors of the fourth ventricle account for 1%-5% of all intracranial neoplastic lesions and present with different configurations and anatomical challenges. Microsurgery represents the primary therapeutic strateg…
-
How we do it: the Zurich Microsurgery Lab technique for placenta preparation.
[BACKGROUND] Perfused placentas provide an excellent and accessible model for microvascular dissection, microsuturing and microanastomosis training - particularly in the early microsurgical learning curve. This way, a significant amount of …
-
When Is Diagnostic Subtraction Angiography Indicated Before Clipping of Unruptured and Ruptured Intracranial Aneurysms? An International Survey of Current Practice.
[INTRODUCTION] The goal of this survey is to investigate the indications for preoperative digital subtraction angiography (DSA) before clipping of ruptured and unruptured intracranial aneurysms in an international panel of neurovascular spe…
-
Validation of the Clavien-Dindo grading system of complications for microsurgical treatment of unruptured intracranial aneurysms.
[OBJECTIVE] Microsurgery plays an essential role in managing unruptured intracranial aneurysms (UIAs). The Clavien-Dindo classification is a therapy-oriented grading system that rates any deviation from the normal postoperative course in fi…
-
Development of machine learning-based preoperative predictive analytics for unruptured intracranial aneurysm surgery: a pilot study.
[BACKGROUND] The decision to treat unruptured intracranial aneurysms (UIAs) or not is complex and requires balancing of risk factors and scores. Machine learning (ML) algorithms have previously been effective at generating highly accurate a…