Combined retractor and hand-rest system for neurosurgery

Gilsbach, Joachim M.; Lutze, T.; Seeger, Wolfgang

doi:10.1007/bf01780689

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…Most of the existing retractors are designed to retract the brain like Leyla and malleable retractor [3,[30][31][32]. A tumor retractor was designed to secure the surgical space by pulling the tumor and consequently less retraction of the brain.…”

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…In the other hand, operating seat developed by same surgeon, and produced by Mizuho factory is used in the present time during microsurgical operating rooms. Gilsbach system, in the same time, includes hand-rest system for microsurgical operations (Gilsbach et al ., 1984;Gilsbach et al, 1994). The hand resting device used by Yaşargil is T shape device seated firmly on the ground.…”

Section: History Of Hand-rest Systemsmentioning

confidence: 99%

“…These produced prototypes are used during surgery and a much more improved during intervention, and after general production is started. This is no way that could not be reached in the brain.Yasargil (Yaşargil, 1977;Yaşargil, 1978;Yaşargil et al, 1988; Yaşargil, 1997;Yaşargil , 1999;Yaşargil, 2005;Yaşargil, 2010), Sugita (Sugita et al, 1978;Sugita et al, 1979;Sugita et al, 1980), andGilsbach (Gilsbach et al ., 1984;Gilsbach et al, 1994) such peoples are among those leading the design tool. An idea creating a new design is the searching of an answer for this question "how can I do better this operation?"…”

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confidence: 99%

A New Dynamic Arm Holding Device For Microsurgical Operations In Neurosurgery

Altun¹,

Çokluk²,

Aydın³

et al. 2011

jecm

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Keywords:Hand tremor Microsurgery Neurosurgery Hand holding device Brain surgery Surgical equipment ARTICLE INFO ABSTRACTThe hand holding devices are generally used during the course of micro-surgical operations in neurosurgery to prevent hand tremor. Recently we designed a new instrument for holding two arms. This instrument used for stabilization of two arms especially during microsurgical operations. We used this instrument in different type of operations such as aneurysm surgery, brain tumor surgery, hypophysis surgery, pontocerebellar tumor surgery and posterior fossa surgery. The ability of the instrument in the preventing of arm tremor, and comfort of the arm during surgery was graded as bad, good and excellent in terms of the description of surgeon during microsurgical operations. This instrument was used during 20 neurosurgical operations. The capability of the instrument during microsurgical operation was found as excellent in 65% of the operations. The capability was found as good in 35% of the operation. In conclusion; this instrument holds two arms in the same time and provide unrelated moving from each others. The capability of this instrument is high in the preventing of hand tremor. This instrument may be used during microsurgical operations in neurosurgery.J. Exp. Clin. Med., 2011; 28:111-116 © 2011 OMU All rights reserved IntroductionIn the development of new surgical instruments and their practical using, brain surgery has a very special place in the history of medicine. Many surgical instruments had been developed for using in neurosurgical operations. The majority of these instruments is used the main part of surgical intervention and the others take actions to support the surgery. Design of these instruments is usually made by the neurosurgeons. An idea was developed for a better and more easily doing a part of the operation. Developed these ideas are translated into a design. Then, the design was turned into a drawing in accordance with a plan, and drawing was given to the masters and prototypes were produced. These produced prototypes are used during surgery and a much more improved during intervention, and after general production is started. This is no way that could not be reached in the brain.Yasargil (Yaşargil, 1977;Yaşargil, 1978;Yaşargil et al, 1988; Yaşargil, 1997;Yaşargil , 1999;Yaşargil, 2005;Yaşargil, 2010), Sugita (Sugita et al., 1978;Sugita et al., 1979;Sugita et al., 1980), andGilsbach (Gilsbach et al ., 1984;Gilsbach et al., 1994) such peoples are among those leading the design tool. An idea creating a new design is the searching of an answer for this question "how can I do better this operation?" Another question is "how the previously developed device is

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Introduction to Robotics in Minimally Invasive Neurosurgery

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Combined retractor and hand-rest system for neurosurgery

Abstract: A combined self-retaining retractor and hand-rest system for neurosurgery is presented. It was developed from the original Leyla system but has the advantage of an integrated hand-rest.

Cited by 7 publications

References 7 publications

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

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

A New Dynamic Arm Holding Device For Microsurgical Operations In Neurosurgery

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