ADVANCED NEUROSURGICAL PROCEDURES: AN IN-DEPTH EXAMINATION OF BRAIN SURGERY TECHNIQUES AND OUTCOMES

Main Article Content

Kran Fatima Rashid
Imesha Kalansuriya
Temidayo Abiodun Alabi
Dr. Rida Zahid
Truc Thanh Huynh To
IS Gouda
Laiba Sabir

Keywords

Stereotaxis, neurosurgery, stereotactic neurosurgery, complications, short-term, medium-term, stereotactic biopsies, stereotactic-guided operations are all terms that apply to this discussion

Abstract

Background and Objective: The overarching goal of this study is to retrospectively describe the postoperative outcomes of patients who underwent neurosurgical brain stereotactic guided procedures at the Hospital Universitario Pakistan between July 2009 and July 2011.


Materials and Methods: This retrospective study involved the examination of medical records of seventy-eight patients who were transported to the Hospital Universitario Pakistan for neurosurgical stereotactic guided treatments. The study analyzed the clinical characteristics of patients, the location of lesions on neuroimaging, the care provided to each patient, the type of procedure performed, and the functional outcomes in the short and medium term.


Results: The study included 78 patients, of whom 64.1% (n = 50) were male. Lesions were located in various brain regions in the following order of frequency: sub-thalamic ganglia, frontal lobe, temporal lobe, thalamus, cortico-subcortical junction, brainstem,  frontotemporal location, occipital lobe, parieto-occipital location, and the base of the skull. The implementation of guided stereotactic neurosurgery procedures was highlighted as an effective solution for dealing with deep brain diseases or areas with restricted access. These procedures were associated with low morbidity and mortality rates and are performed in Colombia and other parts of the world.


Conclusions: The complication rate does not exceed five per cent, regardless of the type of stereotactic guided procedure. These results are comparable to those reported in the global literature. The study underscores the need for multicenter studies to monitor the progression of stereotactic neurosurgery in Colombia. Additionally, long-term studies are necessary to evaluate the extended outcomes of these procedures.

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References

1. Jandial, R., Core techniques in operative neurosurgery. 2019: Elsevier Health Sciences.
2. Mishra, R., et al., Virtual reality in neurosurgery: beyond neurosurgical planning. International journal of environmental research and public health, 2022. 19(3): p. 1719.
3. Bajunaid, K., et al., Neurosurgical procedures and safety during the COVID-19 pandemic: a case-control multicenter study. World Neurosurgery, 2020. 143: p. e179-e187.
4. Gupta, P., et al., Neurosurgery and neurology practices during the novel COVID-19 pandemic: a consensus statement from India. Neurology India, 2020. 68(2): p. 246-254.
5. Iorio-Morin, C., et al., the risk of COVID-19 infection during neurosurgical procedures: a review of severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) modes of transmission and proposed neurosurgery-specific measures for mitigation. Neurosurgery, 2020. 87(2): p. E178-E185.
6. Lawton, M.T. and M.J. Lang, The future of open vascular neurosurgery: perspectives on cavernous malformations, AVMs, and bypasses for complex aneurysms: JNSPG 75th Anniversary Invited Review Article. Journal of Neurosurgery, 2019. 130(5): p. 1409-1425.
7. Shlobin, N.A., M. Sheldon, and S. Lam, Informed consent in neurosurgery: a systematic review. Neurosurgical focus, 2020. 49(5): p. E6.
8. Fiani, B., et al., Virtual reality in neurosurgery: “Can you see it?”–a review of the current applications and future potential. World Neurosurgery, 2020. 141: p. 291-298.
9. Przepiórka, Ł., et al., Necessity of dural tenting sutures in modern neurosurgery: protocol for a systematic review. BMJ Open, 2019. 9(2): p. e027904.
10. Kato, Y., et al., Review of global neurosurgery education: the horizon of neurosurgery in the developing countries. Chinese neurosurgical journal, 2020. 6(03): p. 178-190.
11. Qiu, L., et al., Bioadhesives in neurosurgery: a review. Journal of Neurosurgery, 2019. 133(6): p. 1928-1938.
12. Mofatteh, M., Neurosurgery and artificial intelligence. AIMS neuroscience, 2021. 8(4): p. 477.
13. Fuller, A.T., et al., Global neurosurgery: a scoping review detailing the current state of international neurosurgical outreach. Journal of Neurosurgery, 2020. 134(4): p. 1316-1324.
14. Germanò, A., et al., Coronavirus disease 2019 (COVID-19) and neurosurgery: literature and neurosurgical societies recommendations update. World neurosurgery, 2020. 139: p. e812-e817.
15. López, W.O.C., P.A. Navarro, and S. Crispin, Intraoperative clinical application of augmented reality in neurosurgery: a systematic review. Clinical neurology and neurosurgery, 2019. 177: p. 6-11.
16. Blohm, J.E., et al., Three-dimensional printing in neurosurgery residency training: a systematic review of the literature. World neurosurgery, 2022. 161: p. 111-122.
17. Patel, S., et al., Risk factors for surgical site infections in neurosurgery. The Annals of The Royal College of Surgeons of England, 2019. 101(3): p. 220-225.
18. Ozoner, B., et al., Neurosurgical practice during coronavirus disease 2019 (COVID-19) pandemic. World neurosurgery, 2020. 140: p. 198-207.

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