Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note

Access to deep-seated intraventricular lesions frequently requires a focal corticotomy to allow adequate exposure of the affected area. This is necessary to create a surgical corridor to the lesion. However, this may lead to iatrogenic trauma of healthy cortical tissue, subcortical white matter trac...

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Autores principales:	Alexandru Budu, Geza Mezei, Kishor A Choudhari
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Surgical technique Minimal invasive Technical note Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7add2d86302c4f62b070d308f2c7c238
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spelling	oai:doaj.org-article:7add2d86302c4f62b070d308f2c7c2382021-11-22T04:25:57ZMinimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note2214-751910.1016/j.inat.2020.100946https://doaj.org/article/7add2d86302c4f62b070d308f2c7c2382022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751920305077https://doaj.org/toc/2214-7519Access to deep-seated intraventricular lesions frequently requires a focal corticotomy to allow adequate exposure of the affected area. This is necessary to create a surgical corridor to the lesion. However, this may lead to iatrogenic trauma of healthy cortical tissue, subcortical white matter tracts, cortical and subependymal veins. A sulcal approach minimises length of the trajectory through healthy brain tissue but still involves substantial destruction of grey and white matter structures. The conventional corticotomy involves coagulation or suctioning of considerable volume of tissue until the lesion is reached. To minimise damage to the normal brain tissue during ventricular access, the authors describe a technique using Dandy cannula and a finger of an ordinary surgical rubber glove to access ventricle and to obtain the much-desired radial exposure through a tubular corridor. In addition, the Dandy cannula can be linked to frameless neuronavigation to facilitate accurate and shortest trajectory to the lesion.Alexandru BuduGeza MezeiKishor A ChoudhariElsevierarticleSurgical techniqueMinimal invasiveTechnical noteSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 100946- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgical technique Minimal invasive Technical note Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Surgical technique Minimal invasive Technical note Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Alexandru Budu Geza Mezei Kishor A Choudhari Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
description	Access to deep-seated intraventricular lesions frequently requires a focal corticotomy to allow adequate exposure of the affected area. This is necessary to create a surgical corridor to the lesion. However, this may lead to iatrogenic trauma of healthy cortical tissue, subcortical white matter tracts, cortical and subependymal veins. A sulcal approach minimises length of the trajectory through healthy brain tissue but still involves substantial destruction of grey and white matter structures. The conventional corticotomy involves coagulation or suctioning of considerable volume of tissue until the lesion is reached. To minimise damage to the normal brain tissue during ventricular access, the authors describe a technique using Dandy cannula and a finger of an ordinary surgical rubber glove to access ventricle and to obtain the much-desired radial exposure through a tubular corridor. In addition, the Dandy cannula can be linked to frameless neuronavigation to facilitate accurate and shortest trajectory to the lesion.
format	article
author	Alexandru Budu Geza Mezei Kishor A Choudhari
author_facet	Alexandru Budu Geza Mezei Kishor A Choudhari
author_sort	Alexandru Budu
title	Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
title_short	Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
title_full	Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
title_fullStr	Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
title_full_unstemmed	Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note
title_sort	minimally invasive tubular corticotomy using “dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. technical note
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/7add2d86302c4f62b070d308f2c7c238
work_keys_str_mv	AT alexandrubudu minimallyinvasivetubularcorticotomyusingdandycannulaglovetechniquefortranscorticalapproachestotheventricularlesionstechnicalnote AT gezamezei minimallyinvasivetubularcorticotomyusingdandycannulaglovetechniquefortranscorticalapproachestotheventricularlesionstechnicalnote AT kishorachoudhari minimallyinvasivetubularcorticotomyusingdandycannulaglovetechniquefortranscorticalapproachestotheventricularlesionstechnicalnote
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Minimally invasive tubular corticotomy using “Dandy cannula-glove technique” for trans-cortical approaches to the ventricular lesions. Technical note

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