Soft Micro-Balloon Paddy for Brain Retraction in the Protection of Neuronal Tissue

Serarslan, Yurdal; Çokluk, Cengiz; Aydın, Bahattin Kerem; Iyigün, Ö.

doi:10.1055/s-2006-955067

Cited by 10 publications

(4 citation statements)

References 4 publications

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“…18 Other more novel approaches, such as sponge-based retractor systems, 3,8 microballoon paddies, 16 and rolled expanded polytetrafluoroethylene sheets, 6 have been proposed, but none has gained wide acceptance.…”

Section: Discussionmentioning

confidence: 99%

The quiet revolution: retractorless surgery for complex vascular and skull base lesions

Spetzler¹,

Sanai²

2012

JNS

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Fixed retraction can be supplanted by dynamic retraction with surgical instruments, limiting the risk of retractor-induced tissue edema and injury. This quiet revolution has precipitated a major change in surgical techniques. Extensive dissection of arachnoidal planes, careful placement of the handheld suction device, patient positioning that enhances gravity retraction, the refinement of microsurgical instrumentation, and appropriate selection of the operative corridor all serve to obviate the need for fixed retraction in most intracranial procedures. Retractorless neurosurgery is an achievable goal, even when complex lesions of the vasculature and skull base are being treated.

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Section: Discussionmentioning

confidence: 99%

The quiet revolution: retractorless surgery for complex vascular and skull base lesions

Spetzler¹,

Sanai²

2012

JNS

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“…It is currently being used as a brain selfretraction system in various ways [22]. Various methods such as retraction using stitch and retraction using a pad with microbubbles have also been developed [23][24][25]. Recently, studies using a tubular retractor system to reduce collateral brain damage in deep seated tumor surgery have been actively performed [26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Tumor retractor: a simple and novel instrument for brain tumor surgery

et al. 2020

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Background: It is important to secure a surgical space during brain tumor surgery. One of the commonly used methods is to retract the brain. We hypothesized that the tumor can be retracted and that the normal brain tissue retraction can be minimized during surgery, and thus, the degree of collateral damage caused by brain retraction would be reduced. Methods: The tumor retractor had a 90°, hard, and sharp tip for fixation of the tumor. The distal part of the retractor has a malleable and thin blade structure. By adjusting the angle of the distal malleable part of the tumor retractor, the operator can make the retracting angle additionally. Retractors with thin blade can be used in a conventional selfretraction system. To pull and hold the tumor constantly, the tumor retractor is held by a self-retraction system. The surgical technique using a tumor retractor is as follows: The first step is to fix the retractor to the tumor. The second step is to pull the retractor in the operator's desired direction by applying force. After the tumor is pulled by adjusting the degree of force and angle, the surgical arm should be held in place to maintain the tumor retracted state. Results: The tumor retractor was used to minimize the brain retraction, pulling the tumor in the opposite direction from the surrounding brain tissue. In clinical cases, we can apply the tumor retractor with good surgical outcomes. Conclusions: A tumor retractor can be used to pull a tumor and minimize the brain retraction.

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“…They noted that their materials helped to minimize tissue damage and aid in the separation of sulcal and cisternal walls during surgery. 42 Giannantonio Spena and Pietro Versari have reported usage of balloon tips of Fogarty catheters for gentle brain retraction in cases involving aneurysms of the anterior circulation, as well as for skull base and midline brain tumors (Fig. 19B).…”

Section: Other Retraction Techniquesmentioning

confidence: 99%

The history of brain retractors throughout the development of neurological surgery

Assina

Rubino

Sarris

et al. 2014

FOC

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Early neurosurgical procedures dealt mainly with treatment of head trauma, especially skull fractures. Since the early medical writings by Hippocrates, a great deal of respect was given to the dura mater, and many other surgeons warned against violating the dura. It was not until the 19th century that neurosurgeons started venturing beneath the dura, deep into the brain parenchyma. With this advancement, brain retraction became an essential component of intracranial surgery. Over the years brain retractors have been created pragmatically to provide better visualization, increased articulations and degrees of freedom, greater stability, less brain retraction injury, and less user effort. Brain retractors have evolved from simple handheld retractors to intricate brain-retraction systems with hand-rest stabilizers. This paper will focus on the history of brain retractors, the different types of retractors, and the progression from one form to another.

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Soft Micro-Balloon Paddy for Brain Retraction in the Protection of Neuronal Tissue

Abstract: air-filled silicon micro-balloon paddies are useful materials for the gentle separation of brain tissue with a metallic retractor in order to minimize cerebral damage, and for the separation of sulcal and cisternal walls during the surgical intervention.

Cited by 10 publications

References 4 publications

The quiet revolution: retractorless surgery for complex vascular and skull base lesions

The quiet revolution: retractorless surgery for complex vascular and skull base lesions

Tumor retractor: a simple and novel instrument for brain tumor surgery

The history of brain retractors throughout the development of neurological surgery

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