Neurology Surgical Tech Set Ups

To sum up what is happening during an ALIF... the surgeon is working on the spine from the front (anteriorlly) to remove a disc in the lower portion of the spine. A bone graft will be placed where the old disc was removed, and this will force the discs above . . .

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A craniectomy is done to remove a portion of the skull. This is called a bone flap.

A craniotomy can also be performed on different locations of the skull, and that will narrow down the surgery type, such as frontal parietal, temporal, occipital, or suboccipital craniectomy. This is just telling . . .

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A craniotomy is done to temporarily remove a portion of the skull. This is called a bone flap, and it is done for a couple different reasons. The patient could have a brain tumor that needs to be treated, to remove blood clots or control bleeding, or to repair an . . .

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Laser ablation is done to help patients who have seizures. After surgery, their seizures are reduced significantly, if not completely stopped.

Instrumentation is very minimal besides the saw that will make the hole in the skull, and a few minor instruments in case of any bleeding.

The surgeon will begin . . .

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The patient will be positioned prone on either a Jackson or Andrews table under general anesthesia.

A 10 blade will be used to make an incision. The bovie and pickups will be used to dissect down, while using a variety of different retractors as the surgeon goes deeper. Finally resulting . . .

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A lot of cautery will be used during this surgery, so be sure to have different length bovie tips and a bipolar.
For most of the surgery you will be using rep trays, so a sales rep will tell you exactly what your doctor will use.
C-arm will be . . .

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On all brain biopsies (open... clarifying this because some surgeons use a brain biopsy kit) I put these instruments on my Mayo:
-2 & 3mm kerrisons
-Weitlaner for retraction
-Hemostats
-2 needle holders
-straight mayo scissors
-metzenbaum scissors
-tenotony scissors
-dura scissors
-knife handles for 10,11,15 blades
-adsons . . .

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The surgeon will make an incision with the short #3 knife handle and dissect down until he finds the dural tear. They will use the bipolar forceps along with ferris smith and bayonet forceps. Cerebellum and gelpi retractors will be used to retract. They will also occasionally use metz scissors . . .

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