Utility of Tubular Retractors Augmented with Intraoperative Ultrasound in the Resection of Deep-seated Brain Lesions: Technical Note

Traditional brain retraction has been associated with significant damage to the healthy brain tissue particularly when attempting to expose a deep-seated lesion of the brain. Tubular retractors tend to provide a surgical corridor to treat these lesions while minimizing the extent of retraction on th...

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Published inCurēus (Palo Alto, CA) Vol. 11; no. 3; p. e4272
Main Authors Zammar, Samer G, Cappelli, Jared, Zacharia, Brad E
Format Journal Article
LanguageEnglish
Published United States Cureus 19.03.2019
Subjects
Neurosurgery
tubular retractor
brain tumor
deep brain lesions
ultrasound
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Summary:Traditional brain retraction has been associated with significant damage to the healthy brain tissue particularly when attempting to expose a deep-seated lesion of the brain. Tubular retractors tend to provide a surgical corridor to treat these lesions while minimizing the extent of retraction on the brain. Intraoperative ultrasound can be used as a handy adjunct in maximizing the safe resection primarily by identifying the entry point, visualizing the lesion, and providing real-time feedback on the extent of resection. The authors provide a technical note with case illustrations on the use of tubular retractors augmented with intraoperative ultrasound to ensure a maximal safe resection of deep-seated brain lesions.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.4272