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Tracing the dural tail with image-guided surgery
S Keskil1, G Bademci, M Goksel
1Department of Neurosurgery, Bayindir Medical Center Sogütözü, Ankara, Turkey. sk06-k@tr.net
Objective:
The extent of dural resection is important for preventing recurrence in meningioma management. An image-guidance assisted technique is described to perform adequate dural resection.
Methods:
A universal instrument adapter system for image-guidance was used to track the dural extension of the meningioma accurately.
Results:
The universal instrument adapter offers the surgeon the possibility to image-guide nearly any rigid instrument via the computed calibration method. In this way a surgical marking pen was used to chase and adequately mark the "dural tail".
Discussion:
Image-guidance systems can be used to avoid incomplete resection of the affected dura that may be responsible for tumour recurrence.
