By R. E. Anderson, J. E. Boggan, L. J. Cerullo, M. C. Chan, G. J. Dohrmann, M. S. B. Edwards, V. A. Fasano, J. M. Gilsbach, A. Harders, R. M. Ikeda, P. J. Kelly, E. R. Laws Jr., G. Lee, T. Letardi, D. T. Mason, C. R. Neblett, R. W. Rand, A. Renieri, I. L. Ri
Since the advent of electrosurgery the ideas of surgical procedure at the worried approach have undergone extra advancements (bipolar coagulation, microscope), whether the process used to be no longer considerably transformed. this day, laser represents a brand new "discipline", because it bargains a brand new method of appearing all simple maneuvers (dissection, demolition, hemostasis, vessel sutures). additionally, laser bargains the potential for a different maneuver, particularly relief of the amount of a tumoral mass via vaporization. Its software isn't limited to conventional neurosurgery yet extends additionally to stereotactic and vascular neurosurgery. Laser surgical procedure has additionally prompted the anesthesiologic recommendations. while new instrumentation has been brought: CUSA ultrasonic aspiration, echotomography, and Doppler flowmeter. i've got had the opportunity to make use of those new applied sciences all at a time and feature come to the realization that we face the sunrise of a brand new technique which has already proven its validity and absence of inconveniences, and whose item is to extend the precision of neurological surgical procedure. The technological improvement continues to be occurring, and a few advancements are to be foreseen. Laser scalpel is splitting the preliminary laser surgical procedure into NO contact and contact surgical procedure with laser. As new instrumentarium could be constructed, a variable and tunable beam turns into on hand. for instance, in many years unfastened Electron Laser will extra upload to the development during this field.
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Extra resources for Advanced Intraoperative Technologies in Neurosurgery
They consist in fibrous connective tissue and are present in different amount and disposition depending on the pathology of the lesion. 3. Surgical Applications and Results On the basis of the remark of the small scattering in the nervous tissue recorded by Hill 6 in 1973, the possibility has been suggested to distinguish 24 v. A. Fasano: Fig. 5. Sonographic pattern (15 MHz) of normal brain Fig. 6. Sonographic pattern (8 MHz) of edema pathological lesions from normal brain after investigation with a modified tissual A-mode technique.
Microsurg. 1, 148-153. 17. , 1980: Intraoperative Dopplersonographie an HirngefaBen. Neurochirurgia 23, 89-98. 46 J. M. Gilsbach and A. Harders: 18. Gilsbach, J. , 1983: Intraoperative Doppler sonography in neurosurgery. Wien-New York: Springer. 19. Gilsbach, J. : Intravascular application of a microvascular Doppler system. In preparation. 20. Greene, E. , Blair, W. , Hartley, C. , 1980: Noninvasive pulsed Doppler velocity measurements and calculated flow in human digital arteries. Biomed. Sci.
Ponzio, R. , 1982: Observations on the simultaneous use of CO 2 and Nd: Y AG laser in neurosurgery. Lasers Surg. Med. 155. 6. Jako, G. , 1972: Laser surgery of the vocal cords. An experimental study with carbon dioxide laser. Laryngoscope 8, 2204. 7. , Bennet, W. , Herriot, D. , 1961: Population inversion and continuous optical Maser oscillation in gas discharge containing a He-Ne misture. Phys. Rev. 6, 106. 8. , 1972: Argon laser treatment of brain tumors sensitized by acridine orange. Med. J.