By Michael T. Lawton
ISBN-10: 1604060549
ISBN-13: 9781604060546
Finalist in 2012 IBPA Benjamin Franklin Awards
[Four stars] couldn't be released at a greater time... awesome illustrations, well-referenced text... approach insights... not just an excellent booklet, but in addition one with old significance... unheard of within the publication literature on aneurysm clipping. Doodys Review
Seven Aneurysms: Tenets and methods for Clipping combines the instructive nature of a textbook with the visible facets of an atlas to steer readers in the course of the surgical rules, ways, and strategies they should dissect and clip cerebral aneurysms.
Comprised of 3 concise sections, the e-book distills the celebrated author's big adventure right into a sequence of simply available tutorials provided via transparent, systematic descriptions and attractive, full-color illustrations. the 1st part explains the serious innovations and easy tenets of aneurysm microsurgery via a piece at the quite a few craniotomies and exposures worthy for profitable clipping. the ultimate part covers microsurgical anatomy, dissection thoughts, and clipping ideas for every of the seven commonest aneurysm varieties which are the point of interest of this book.
Features:
- Strategies for dealing with the seven aneurysms almost always visible through neurosurgeons: PCoA, MCA, ACoA, OphA, PcaA, basilar bifurcation, and PICA
- 383 full-color surgical pictures display operative thoughts; seventy seven top of the range drawings reveal anatomy and spatial relationships
- Succinct textual content allows speedy interpreting and simple reference
Clipping continues to be a vital therapy procedure for the main usually encountered aneurysms. This must-have consultant will permit neurosurgery citizens, fellows, or working towards neurosurgeons to address nearly all of the aneurysms they're going to come upon with self assurance and poise.
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Additional info for Seven Aneurysms: Tenets and Techniques for Clipping
Example text
These fascial layers are separated to expose the orbital walls and zygoma for osteotomies. (C) Subfascial dissection technique leaves the superficial and deep temporalis fascia together over the muscle, but cuts the deep fascia along the posterior edge of the lateral orbital rim and superior edge of zygoma. These cuts release the superficial fascia, allowing it to elevate over the orbital rim and zygoma. (D) The deep layer of the temporalis fascia is incised by following the superior edge of the zygoma to the maxilla (right arrow) with a sharp round knife or dissector.
When applying the clip, the microscope is oriented to bring both sides of the neck and both clip blades into one panoramic view down the blades. The relationship between the blade’s tips and the end of the aneurysm neck is difficult to assess from this tangential perspective. An oblique perspective is better, but it sacrifices the view of the other side of the neck, which is unacceptable during clip application. However, this perspective is acquired easily and safely during inspection. “Ovalization” may also explain persistent aneurysm filling at the distal neck.
With small, sessile aneurysms, downward pressure may also be required as the clip is released. Permanent clip application demands complete visualization from start to finish, from the introduction of permanent clips into the field to their release from the appliers. Both sides of the aneurysm neck, both clip blades, and the adjacent anatomy are brought into one panoramic view by shifting the microscope, decreasing the zoom, and adjusting retractors. Clip appliers obstruct an established line of sight if they enter the surgical corridor along or near the line of sight; a 15- to 30-degree difference between the appliers’ line and the sight line is needed to visualize the blades on the aneurysm neck (Fig.