Department of Neurosurgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan.
Acta Neurochir (Wien). 2021 Apr;163(4):1045-1048. doi: 10.1007/s00701-021-04726-1. Epub 2021 Jan 27.
Key hole surgery was recruited for MVD surgery since the maneuver is through the small space between the cerebellum and temporal/occipital bone. However, even small wounds can cause severe postoperative pain if there is significant tissue damage. Attention has been given to the size of the craniotomy rather than to the skin incision or soft tissues such as muscles.
Suboccipital muscle dissection focusing on splitting the splenius capitis muscle was presented. The dura was reapproximated without additional dissection to harvest a fascia graft.
Muscle injury should be minimized to alleviate postoperative pain.
锁孔手术被应用于 MVD 手术，因为手术是通过小脑和颞骨/枕骨之间的小空间进行的。然而，即使是小的伤口，如果有明显的组织损伤，也会引起严重的术后疼痛。人们关注的是开颅术的大小，而不是皮肤切口或肌肉等软组织。
介绍了一种注重劈开头夹肌的枕下肌解剖方法。硬脑膜重新接近，无需额外解剖即可采集筋膜移植物。
应尽量减少肌肉损伤以减轻术后疼痛。
