Deopujari Chandrashekhar Eknath, Karmarkar Vikram Sudhir, Shaikh Salman Tehran, Gadgil Ulhas Sadashiv
Director of Neurosurgery Training, Department Of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Centre of Excellence for Minimal Access Surgery (CEMAST), Mumbai, India.
Faculty of Neurosurgery Training, Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Centre of Excellence for Minimal Access Surgery (CEMAST), Mumbai, India.
Childs Nerv Syst. 2019 Apr;35(4):621-627. doi: 10.1007/s00381-019-04087-2. Epub 2019 Feb 20.
A novel dynamic simulator brain model with hydrocephalus has been developed for endoscopic intraventricular procedures. Detachable components allow enhancement of the walls of the ventricle by choroid plexus, ependymal veins and the membranous floor of the third ventricle which are derived from cadaveric lab animal tissues to give a lifelike appearance. These can be changed for every exercise. Ventricles are filled with injection of saline to give appropriate transparent medium and connected to a device transmitting pulsations creating conditions similar to live surgeries.
Thirty-five participants have used this model over the last 1 year and found it to be useful for conducting third ventriculostomy. Further development of the model for septostomy, aqueductoplasty and tumour biopsy has also been recently tested successfully by 12 participants.
It is hoped that this simulator model for intraventricular endoscopy is comprehensive as a learning tool in carrying out most of the the surgical procedures currently practised.
一种用于脑室镜手术的新型脑积水动态模拟脑模型已被开发出来。可拆卸组件可通过脉络丛、室管膜静脉和第三脑室的膜性底部来增强脑室壁，这些组件源自尸体实验动物组织，使其外观栩栩如生。每次练习时都可以更换这些组件。向脑室注入盐水以提供合适的透明介质，并连接到一个传输脉动的装置，创造出类似于实际手术的条件。
在过去一年中，35名参与者使用了该模型，发现它对进行第三脑室造瘘术很有用。最近，12名参与者也成功测试了该模型在造瘘术、导水管成形术和肿瘤活检方面的进一步开发。
希望这种脑室镜模拟模型作为一种学习工具，在实施目前大多数外科手术时是全面的。
