Shibuya M, Sugita K, Kobayashi S
Department of Neurosurgery, Nagoya University, Japan.
J Neurosurg. 1991 Apr;74(4):677-9. doi: 10.3171/jns.1991.74.4.0677.
The authors describe a technique whereby, during microneurosurgery, vital structures are covered or wrapped with small pieces of silicone rubber sheeting to protect them from intraoperative injury. In this way, perforating arteries located behind a large aneurysm can be covered to avoid their inclusion within the blades of the clip, and the cranial nerves coursing around or through a tumor can be wrapped to protect them from injury by a suction or forceps. By insulating nerves and arteries, this silicone rubber sheet has the added advantage of protecting them from injury due to electrical current of bipolar forceps. The silicone rubber sheet described here is smoother, thinner, and lighter than a cotton pattie.
作者描述了一种技术，即在显微神经外科手术中，用小块硅橡胶片覆盖或包裹重要结构，以保护它们免受术中损伤。通过这种方式，可以覆盖位于大动脉瘤后方的穿支动脉，以避免其被夹闭器的叶片夹住，并且可以包裹围绕肿瘤或穿过肿瘤的颅神经，以保护它们免受吸引器或镊子的损伤。通过隔离神经和动脉，这种硅橡胶片还有保护它们免受双极镊子电流损伤的额外优势。这里描述的硅橡胶片比棉片更光滑、更薄且更轻。
