Microsurgical basics and bypass techniques PDF
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To access the additional media content available with this e-book via Thieme MedOne, please use the code and follow the instructions provided at the back of the e-book. TPS23x31-2|08.04.20-15:40 TPS23x31-2|08.04.20-15:40 TPS23x31-2|08.04.20-15:40 Microsurgical Basics and Bypass Techniques Evgenii Belykh, MD, PhD Neurosurgery Research Fellow Department of Neurosurgery Barrow Neurological Institute Phoenix, Arizona Assistant Professor Department of Neurosurgery Irkutsk State Medical University Irkutsk, Russia Nikolay L. Martirosyan, MD, PhD Neurosurgery Fellow Department of Neurosurgery University of Arizona Tucson, Arizona M. Yashar S. Kalani, MD, PhD Vice Chair and Associate Professor Director of Skull Base and Neurovascular Surgery Departments of Neurosurgery and Neuroscience University of Virginia School of Medicine Charlottesville, Virginia Peter Nakaji, MD Professor and Horace W. Steele Chair in Neurosurgical Innovation and Education Program Director, Neurosurgery Residency Program Department of Neurosurgery Barrow Neurological Institute Phoenix, Arizona Series Editors Peter Nakaji, MD Vadim A. Byvaltsey, MD, PhD Robert F. Spetzler, MD Thieme New York (cid:129) Stuttgart (cid:129) Delhi (cid:129) Rio de Janeiro TPS23x31-2|08.04.20-15:40 LibraryofCongressCataloging-in-PublicationData Importantnote:Medicineisanever-changingscienceundergoingcontinual development.Researchandclinicalexperiencearecontinuallyexpanding Names:Belykh,EvgeniiG.,author.|Martirosyan,NikolayL.,author.| ourknowledge,inparticularourknowledgeofpropertreatmentanddrug Kalani,Yashar,author.|Nakaji,Peter,author. therapy.Insofarasthisbookmentionsanydosageorapplication,readers Title:Microsurgicalbasicsandbypasstechniques/EvgeniiG. mayrestassuredthattheauthors,editors,andpublishershavemadeevery Belykh,NikolayL.Martirosyan,M.YasharS.Kalani,PeterNakaji. efforttoensurethatsuchreferencesareinaccordancewiththestateof Description:NewYork:Thieme,[2020]|Includesbibliographical knowledgeatthetimeofproductionofthebook. references and index. | Summary: "All neurosurgeons must undergo Nevertheless,thisdoesnotinvolve,imply,orexpressanyguaranteeor rigoroustraininginthelaboratoryandpracticebypasstechniquesrepet- responsibilityonthepartofthepublishersinrespecttoanydosageinstruc- itivelybeforeperformingmicroneurosurgeryonapatient. tionsandformsofapplicationsstatedinthebook.Everyuserisrequestedto MicrosurgicalBasicsandBypassTechniquesbyEvgeniiBelykh,Nikolay examinecarefullythemanufacturers’leafletsaccompanyingeachdrugand Martirosyan, and M. Yashar S. Kalani is a comprehensive yet succinct tocheck,ifnecessaryinconsultationwithaphysicianorspecialist,whether manualonfundamentallaboratorytechniquesrarelyincludedinclinical thedosageschedulesmentionedthereinorthecontraindicationsstatedby textbooks.Theresourcesimplifiesrepetitivemicrosurgicalpracticeinthe themanufacturersdifferfromthestatementsmadeinthepresentbook.Such laboratory by providing a menu of diverse, progressively challenging examinationisparticularlyimportantwithdrugsthatareeitherrarelyused exercises.Step-by-stepinstructionsaccompaniedbyeasy-to-understand orhavebeennewlyreleasedonthemarket.Everydosagescheduleorevery illustrations,expertcommentary,andvideoseffectivelybridgethegap formofapplicationusedisentirelyattheuser’sownriskandresponsibility. betweenlaboratorypracticeandoperatingroomperformance.Thebook Theauthorsandpublishersrequesteveryusertoreporttothepublishersany startswithanopeningchapteronfourfoundingprinciplesofmicrosur- discrepanciesorinaccuraciesnoticed.Iferrorsinthisworkarefoundafter gicalpracticeinheritedfromgreatthinkersandconcludeswithachapter publication, errata will be posted at www.thieme.com on the product featuringcerebrovascularbypasscases.Chapters2-8offeracompleteone- descriptionpage. week curriculum, with a different lab exercise each day, focused on Someoftheproductnames,patents,andregistereddesignsreferredto learningbasicmicrosurgeryskills"–Providedbypublisher. inthisbookareinfactregisteredtrademarksorproprietarynameseven Identifiers:LCCN2019027137|ISBN9781626235304(softcover)| thoughspecificreferencetothisfactisnotalwaysmadeinthetext.Therefore, ISBN9781626235311(ebook) theappearanceofanamewithoutdesignationasproprietaryisnottobe Subjects:MESH:Microsurgery–methodsClassification:LCC construedasarepresentationbythepublisherthatitisinthepublicdomain. RD33.6|NLMWO512|DDC617.059–dc23 LCrecordavailableathttps://lccn.loc.gov/2019027137 ©2020ThiemeMedicalPublishers,Inc. ThiemePublishersNewYork 333SeventhAvenue,NewYork,NY10001USA +18007823488,[email protected] ThiemePublishersStuttgart Rüdigerstrasse14,70469Stuttgart,Germany +49[0]7118931421,[email protected] ThiemePublishersDelhi A-12,SecondFloor,Sector-2,Noida-201301 UttarPradesh,India +911204556600,[email protected] ThiemePublishersRiodeJaneiro,ThiemePublicaçõesLtda. EdifícioRodolphodePaoli,25ºandar Av.NiloPeçanha,50–Sala2508, RiodeJaneiro20020-906Brasil +55213172-2297/+55213172-1896 www.thiemerevinter.com.br BarrowNeurologicalInstituteholdsthecopyrighttoalldiagnosticimages, photographs,intraoperativevideos,animations,andart,includingthecover art,usedinthisworkandtheaccompanyingdigitalcontent,unlessotherwise stated.UsedwithpermissionfromBarrowNeurologicalInstitute,Phoenix, Arizona. Coverdesign:ThiemePublishingGroup TypesettingbyThomsonDigital,Noida,India Coverart:PeterM.Lawrence,MS PrintedinTheUnitedStatesofAmerica byKingPrinting 54321 Thisbook,includingallpartsthereof,islegallyprotectedbycopyright.Any use, exploitation, or commercialization outside the narrowlimits set by ISBN978-1-62623-530-4 copyrightlegislation,withoutthepublisher’sconsent,isillegalandliableto prosecution.Thisappliesinparticulartophotostatreproduction,copying, Alsoavailableasane-book: mimeographing,preparationofmicrofilms,andelectronicdataprocessing eISBN978-1-62623-531-1 andstorage. TPS23x31-2|08.04.20-15:40 TomywifeLiudmila,forwholeheartedlysupportingmeinmyjourney.TomymotherOlgaand tothememoryofmyfatherGeorgiy,whotaughtmebytheirexampletheimportance ofsacrifice,kindness,passionforcare,andstrivingforexcellence.Iamindebtedtomy teachersMarkC.Preul,PeterNakaji,andVadimA.Byvaltsevforinfusingmewith theirspiritofcuriosityandforbeingconstantsourcesofwisdomandinspiration. EvgeniiBelykh,MD Dedicatedtomyfamily,fortheirloveandendlesssupport. NikolayL.Martirosyan,MD ToJosephM.Zabramski,whotookayoungintern'srequestseriouslyandspentendlesshoursteaching methebasicsofbypasssurgery.ToRobertF.Spetzler,whosededicationtoexcellenceatworkand balanceinlifeisaninspiration.ToCameronG.McDougall,whothroughoutstandingsurgicalacumen andthoughtfulnessincaseselectiontaughtmemuchaboutcerebrovasculardisease.Thank youallforallyoursupportandfriendshipovertheyears. M.YasharS.Kalani,MD,PhD Toallwho,likeme,areconstantlylearning,andtoallwhogivebackbyteaching:mycolleagues, myresidents,mystudents,andespeciallymyfamily. PeterNakaji,MD TPS23x31-2|08.04.20-15:40 |27.03.20-16:51 Contents VideoContents................................................................................... ix Foreword.......................................................................................... x Preface............................................................................................ xi Acknowledgments............................................................................... xiv Contributors...................................................................................... xv 1 ThePhilosophyofMicrosurgicalPractice:FourFoundingPrinciplesInheritedfrom theGreatThinkers ............................................................................... 1 EvgeniiBelykhandPeterNakaji 2 Day1:TheOrganizationoftheMicrosurgicalLaboratory:NecessaryToolsand Equipment........................................................................................ 4 EvgeniiBelykh,NikolayL.Martirosyan,andMarkC.Preul 3 Day2:Dry-LaboratoryMicrosurgicalTraining:TechniquesandManualSkills............. 26 EvgeniiBelykhandNikolayL.Martirosyan 4 Day3:Wet-LaboratoryMicrosurgicalTraining:BasicPrinciplesforWorkingwith LaboratoryAnimals.............................................................................. 56 EvgeniiBelykhandNikolayL.Martirosyan 5 Day4:ExerciseSet1:BasicArterialAnastomoses............................................ 65 EvgeniiBelykhandNikolayL.Martirosyan 6 Day5:ExerciseSet2:DeepFieldAnastomosesandComplexVascular Reconstructions.................................................................................. 75 EvgeniiBelykhandNicolayL.Martirosyan 7 Day6:Exercises:KidneyAutotransplantation,Supermicrosurgery,and AneurysmClipping............................................................................... 81 EvgeniiBelykhandNikolayL.Martirosyan 8 Day7:ModelsforMicroneurosurgicalTrainingandSchedulesforTraining ............... 87 EvgeniiBelykh,VadimA.Byvaltsev,MarkC.Preul,PeterNakaji 9 PossibleBypassErrors........................................................................... 94 EvgeniiBelykhandPeterNakaji 10 TranslationofLaboratorySkills:IndicationsforBypassinNeurosurgery .................. 99 EvgeniiBelykh,M.YasharS.Kalani,VadimA.Byvaltsev,andPeterNakaji 11 CaseExamplesofCerebrovascularBypass..................................................... 118 M.YasharS.Kalani,Ken-ichiroKikuta,andEvgeniiBelykh 12 Postscript ......................................................................................... 127 Index .............................................................................................. 129 v |27.03.20-16:51
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