Instruments for Endoscopic Endonasal Transsphenoidal Surgery

Instruments for Endoscopic Endonasal Transsphenoidal Surgery AbstractTECHNIQUE:Endoscopic transsphenoidal surgery. New, developing, minimally invasive technique. Removal of pituitary lesions and tumors of the parasellar region.TECHNICAL DEVELOPMENT:Endoscopic endonasal transsphenoidal surgery. Endonasal, not transnasal, procedure. Great respect of anatomy. Very wide surgical field, without intraoperative use of a nasal speculum, but with less room in which to work (only one nostril) and potential conflict between the surgeon's hands and the endoscope (both when entering the nostril and while working inside).INSTRUMENTATION:New instrument. Secure grip. Barycenter of the instrument is the surgeon's hands. Many different tips with different functions. Elimination of the bayonet-like shape. Handle bent in the horizontal plane to avoid interference with the surgeon's hands and to allow the distal, thin part of the instrument to be used safely and comfortably. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Instruments for Endoscopic Endonasal Transsphenoidal Surgery

Instruments for Endoscopic Endonasal Transsphenoidal Surgery

NEW INSTRUMENTATION nasal sp ecu lu m , thus minimizing post- Instruments for Endoscopic Endonasal op erativ e nasal and paranasal complies tions (2, 5 - 8 ) . Its m o st important fea­ Transsphenoidal Surgery tu re is the o p e n i n g o f the sphenoid o s tiu m in the m e d ia l direction, w ith d r illin g o f the s p h e n o id prominence, w h ich creates the possibility of comfort­ Paolo Cappabianca, M.D., Alessandra Alfieri, M.D., able m o v e m e n t on a fulcrum in a circle Stefano Thermes, Simona Buonamassa, M.D., 1.5 to 2 cm in d ia m eter (1, 2, 5-8). It m ig h t seem that the surgeon has a re­ Enrico de Divitiis, M.D. stricted surgical field; however, with the Department of Neurosurgery, "Federico II" University School of Medicine, Naples, Italy a b sen ce of the sp ecu lu m , the instru­ m en ts are able to m o v e m ore freely, be­ cause they no longer need to work co­ T EC H N IQ U E: Endoscopic transsphenoidal surgery. New, developing, m ini­ axially with the sp ecu lu m in a tunnel, mally invasive technique. Removal of pituitary lesions and tumors of the Furthermore, the working angle is ex­ tremely wide, notwithstanding the sm all parasellar region. entry point of the tools through the nostril TEC H N IC A L D EV ELO PM EN T: Endoscopic endonasal transsphenoidal sur­ (Fig. 1). gery. Endonasal, not transnasal, procedure. Great respect of anatomy. The new tech n iq u e presents various Very wide surgical field, without intraoperative use of a nasal speculum, p ro b lem s with resp ect to the standard but with less room in which to work (only one nostril) and potential tran ssp h en o id al p rocedu re: 1) there is conflict between the surgeon's hands and the endoscope (both when less room in w hich to w ork; 2 ) a conflict entering the nostril and while working inside). b etw e en the su rg e o n 's hands and the IN ST R U M EN T A T IO N : New instrument. Secure grip. Barycenter of the...
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Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199908000-00041
Publisher site
See Article on Publisher Site

Abstract

AbstractTECHNIQUE:Endoscopic transsphenoidal surgery. New, developing, minimally invasive technique. Removal of pituitary lesions and tumors of the parasellar region.TECHNICAL DEVELOPMENT:Endoscopic endonasal transsphenoidal surgery. Endonasal, not transnasal, procedure. Great respect of anatomy. Very wide surgical field, without intraoperative use of a nasal speculum, but with less room in which to work (only one nostril) and potential conflict between the surgeon's hands and the endoscope (both when entering the nostril and while working inside).INSTRUMENTATION:New instrument. Secure grip. Barycenter of the instrument is the surgeon's hands. Many different tips with different functions. Elimination of the bayonet-like shape. Handle bent in the horizontal plane to avoid interference with the surgeon's hands and to allow the distal, thin part of the instrument to be used safely and comfortably.

Journal

NeurosurgeryOxford University Press

Published: Aug 1, 1999

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