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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
New device for endoscopic image display during microsurgical clipping of cerebral aneurysms--technical note--
Kenichiro Hiramatsu1, Takuo Inui, Masato Okada
1Department of Neurosurgery, Nabari City Hospital, Nabari, Mie, Japan. k-hiramatu@nabari-hospital.jp
Abstract:
Endoscopy in microsurgery is most effective when a single surgeon can monitor both endoscopic and microscopic images simultaneously. However, monitoring systems of this kind, such as a contemporary microscope equipped with a picture-in-mode function, are expensive. The present display system is connected to the endoscope video camera and mounted on the surgeon's head. The liquid crystal display is positioned just under the microscope eyepieces, so reducing the need for the surgeon to refocus and redirect the gaze during surgery. This system allows nearly simultaneous endoscopic and microscopic monitoring. No changes to the surgical microscope are necessary.