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Preassembled method for insertion of Ommaya reservoir
Rob D Dickerman1, Mark B Eisenberg
1Department of Neurosurgery, Plano Presbyterian Hospital-Texas Back Institute, Texas 75093, USA. drrdd@yahoo.com
Journal of Surgical Oncology
|December 22, 2004
Summary
A new preassembled technique for Ommaya reservoir insertion offers a safer and faster neurosurgical approach. This method ensures accurate catheter placement and avoids complications, improving patient outcomes.
Area of Science:
- Neurosurgery
- Medical Devices
- Surgical Techniques
Background:
- The Ommaya reservoir is a device used for administering medications or draining cerebrospinal fluid.
- Standard Ommaya reservoir insertion can be associated with complications.
- Improving surgical techniques is crucial for patient safety and outcomes.
Purpose of the Study:
- To present a revised, preassembled technique for Ommaya reservoir insertion.
- To evaluate the safety and efficacy of this new technique compared to the standard approach.
Main Methods:
- A randomized retrospective study involving 20 patients.
- Utilized a novel preassembled technique for Ommaya reservoir placement.
- Assessed ventricular catheter placement and postoperative complications via chart and CT scan review.
Main Results:
- Consistent ipsilateral right frontal horn placement of the ventricular catheter in all 20 patients.
- No postoperative morbidities, reoperations for catheter positioning, or mortalities were observed.
- The preassembled technique demonstrated successful outcomes in all cases.
Conclusions:
- The revised preassembled technique reduces operative time.
- This method decreases the risk of intraoperative infection.
- It improves ventricular catheter placement accuracy by eliminating in vivo catheter-reservoir connection manipulation.