Stereoscopic television system for use with the operating microscope

1985 ◽  
Vol 62 (4) ◽  
pp. 610-611 ◽  
Author(s):  
Kenichiro Sugita ◽  
Yohji Ohohigashi ◽  
Shigeaki Kobayashi

✓ A new and simple method of stereoscopic television imaging of surgical procedures performed under an operating microscope has been developed. Two television cameras of the same type, two television monitors of the same size, and a mirror box for fusion of the two visual objects on the two television monitors are used. No significant modifications of available components are necessary. The method can be applied to all operating microscopes with a beam splitter.

1984 ◽  
Vol 60 (1) ◽  
pp. 208-210 ◽  
Author(s):  
Walter J. Levy

✓ Neurosurgical instrumentation over the last two decades has improved with the increasing use of the operating microscope and has provided much better visualization and lighting of the surgical field. During this time, dissecting instruments have become smaller, but they sacrifice some of the microscopic gains because they are made of opaque metal. This has the disadvantage of hiding from the surgeon the area of the surgical field being worked on. This paper reports the development of transparent instruments that are strong enough to be used in dissection and yet do not sacrifice part of the improved visualization and lighting gained with the operating microscope. Made of a high-strength plastic, these instruments can be used for dissection in surgical procedures and allow the surgeon to look through them and observe the tissues underneath. He can watch the condition of blood vessels and nervous tissues with an improved visibility that can help to avoid damage to delicate structures. Furthermore, as hidden structures such as small vessels come into view they are identified earlier. These instruments can also incorporate jeweled cutting edges and use their optical properties to improve further visualization of the surgical field.


1976 ◽  
Vol 44 (5) ◽  
pp. 642-643 ◽  
Author(s):  
Eugene H. Holly

✓ An inexpensive mouth guide is described, which increases the mobility of the operating microscope and effectively shortens operating time.


2002 ◽  
Vol 96 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Masakazu Takayasu ◽  
Teruhide Takagi ◽  
Toshihisa Nishizawa ◽  
Koji Osuka ◽  
Takehiko Nakajima ◽  
...  

Object. The authors report a simple method for bilateral open-door cervical expansive laminoplasty in which hydroxyapatite (HA) spacers are secured by titanium screws. A biomechanical study was also conducted to confirm the strength of the screw fixation. Methods. A unilateral posterior approach was used to allow preservation of the posterior supporting elements (the posterior tension band) until the laminae were cut at the base. A bilateral open-door expansive laminotomy was then performed in standard fashion. Appropriate-sized HA spacers were selected, held with a specially designed holder, and placed between the split laminae. The screw holes were made in the laminae along the direction of the screw holes in the spacer, and two screws were inserted ventrolaterally to the laminae, resulting in instantaneous fixation. This procedure was performed in 15 patients; clinical results were successful, and there were no significant intraoperative complications. Follow-up radiological studies revealed no evidence of displacement of the spacers or screw backout. The screw artifacts observed on magnetic resonance imaging were minimal, allowing evaluation of the cervical spinal cord. The sagittal alignment of the cervical spine was well preserved. In the biomechanical studies the authors found that the screw fixation was of satisfactory strength, compared with other methods of fixation. Conclusions. Bilateral open-door cervical expansive laminoplasty in which HA spacers are secured by titanium screws is a simple and quick method that yields sufficient fixation strength.


1977 ◽  
Vol 46 (5) ◽  
pp. 596-600 ◽  
Author(s):  
Ivan Ciric

✓ Observations under the operating microscope confirming the presence of a pituitary capsule are reported. This capsule envelops the anterior lobe of the pituitary, the neurohypophysis, and the pituitary stalk. It merges along the stalk with the intracranial pia mater. The origin and nature of this capsule are discussed in light of the known facts of development of the pituitary gland and surrounding structures. It is concluded that the pituitary gland capsule is a derivative of the primitive pia mater.


1978 ◽  
Vol 49 (1) ◽  
pp. 143-145 ◽  
Author(s):  
John I. Moseley ◽  
Robert W. Rand

✓ A technique is outlined for retraction of tumors under the operating microscope using the microcryoprobe. The method depends on temperature settings in the −20° to −30° C range to produce a small ice bond uniting tumor and cryoprobe. No attempt is made to create a solid frozen tumor. The locally avascular field and retraction provided ideal circumstances for microdissection. Examples of this approach are outlined with case summaries for spinal cord ependymoma and hemangioblastoma.


1977 ◽  
Vol 47 (6) ◽  
pp. 861-863 ◽  
Author(s):  
Theodore Kurze ◽  
Michael L. J. Apuzzo ◽  
Martin H. Weiss ◽  
James S. Heiden

✓ Experiments were conducted to assess the feasibility of both paraformaldehyde and ethylene oxide gas sterilization of the operating microscope. From these experiments and practical experience, it is concluded that ethylene oxide sterilization of the operating microscope is a feasible and desirable alternative to cumbersome draping techniques.


1983 ◽  
Vol 58 (5) ◽  
pp. 693-698 ◽  
Author(s):  
J. Jaap van der Sande ◽  
Jan J. Veltkamp ◽  
Marijke L. Bouwhuis-Hoogerwerf

✓ Preoperative and postoperative coagulation studies were performed in 25 patients undergoing various intracranial surgical procedures. Coagulation abnormalities, mostly consisting of an increase of fibrin/fibrinogen degradation product concentration, either appeared or increased postoperatively in 18 patients. This incidence of postoperative appearance or increase of coagulation abnormalities is higher than that reported in a comparable study of patients after general surgical procedures, and also higher than that of coagulation abnormalities in a previous study of patients after blunt head injury. Although the coagulation abnormalities after intracranial surgery were usually small, they tended to be larger in patients with more extensive intracranial procedures.


1981 ◽  
Vol 54 (2) ◽  
pp. 268-272 ◽  
Author(s):  
Wanxing Chai

✓ Two cases are presented in which an acoustic tumor was totally removed without the aid of an operating microscope. In one of them, a large lesion was excised, with restoration of the patient's hearing postoperatively. The anatomical problems are analyzed, and the relevant literature is reviewed briefly.


1983 ◽  
Vol 59 (4) ◽  
pp. 697-702 ◽  
Author(s):  
Akira Nishimoto ◽  
Shunichiro Fujimoto ◽  
Shoji Tsuchimoto ◽  
Yuzo Matsumoto ◽  
Kazuo Tabuchi ◽  
...  

✓ Three cases of aneurysms of the anterior inferior cerebellar artery are reported. Two of the aneurysms were located in the cerebellopontine angle and one in the ventral portion of the pons. Through a suboccipital craniectomy, neck clipping was perfomed on one aneurysm, neck ligation on another, and coating on the third. A discussion of the surgical procedures and complications includes a review of previous reports.


2004 ◽  
Vol 1 (2) ◽  
pp. 228-231 ◽  
Author(s):  
Jyi-Feng Chen ◽  
Chieh-Tsai Wu ◽  
Shih-Tseng Lee

✓ Percutaneous vertebroplasty is a useful procedure for patients with vertebral osteoporotic compression fractures; however, there has been no mention in the literature of the use of percutaneous vertebroplasty for the treatment of traumatic spinal fractures. The authors report the case of a 33-year-old man who harbored L-1, L-2, and L-5 burst fractures sustained in a work-related accident. The patient was successfully treated by percutaneous vertebroplasty with polymethylmethacrylate. The authors propose this procedure as a useful intervention in selected patients with lumbar burst fractures. The complications associated with major surgical procedures are absent.


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