Abstract:
Neurosurgical approach to lesions located in the occipital lobes or in the posterior fossa require very specific and time-consuming patient installations, such as the park bench position, the prone position, or the sitting position. Nevertheless, each of these position present major drawbacks regarding specific installation-related adverse events and potentially serious neurosurgical complications such as venous air embolism, iatrogenic intracranial hypertension, and supratentorial remote hematoma just to cite a few. In order to provide neurosurgeons with a simpler, physiologically-respective, easily tolerated, less time-consuming, and less provider or specific adverse events patient installation, Ochiai (1979) introduced the supine modified park-bench / lateral decubitus position. Given that this patient position has not gained wide visibility among the neurosurgical community despite its obvious numerous advantages over its classic counterparts, we provide our experience using this installation for neurosurgical approach to lesions located in the occipital lobes and in the posterior fossa.
摘要:
位于枕叶或后颅窝的病变的神经外科方法需要非常具体和耗时的患者装置。比如公园的长凳位置,俯卧位,或坐姿。然而,这些位置中的每一个都存在关于特定安装相关不良事件和潜在严重神经外科并发症如静脉空气栓塞的主要缺点,医源性颅内高压,而幕上远隔血肿仅举几例。为了给神经外科医生提供更简单的,生理上各自的,容易忍受,耗时少,和较少的提供者或特定的不良事件患者安装,Ochiai(1979)介绍了仰卧改良的公寓式/侧卧位。鉴于这种病人的位置并没有获得广泛的知名度,在神经外科界,尽管它明显的众多优势,其经典同行,我们提供了我们的经验,使用该装置对位于枕叶和后颅窝的病变进行神经外科手术。