Journal article
Shunt scissors: technical note
Journal of neurosurgery, Vol.129(5), pp.1200-1202
11/2018
DOI: 10.3171/2017.6.JNS171108
PMID: 29219754
Abstract
OBJECTIVEWhen performing ventriculoperitoneal shunt surgery it is necessary to create a subgaleal pocket that is of sufficient size to accommodate a shunt valve. In most cases the valve is placed over the posterior skull where the galea begins to transition to suboccipital neck fascia. Dense fibrous attachments in this region of the skull make it technically awkward to develop the subgaleal valve pocket using standard scissors and a blunt dissection technique. In this report the authors describe a new device that enables surgeons to create the shunt valve pocket by using a simple semi-sharp dissection technique.METHODSThe authors analyzed the deficiencies of the standard valve pocket dissection technique and designed shunt scissors that address the identified shortcomings. These new scissors allow the surgeon to sharply dissect the subgaleal space by using an efficient hand-closing maneuver.RESULTSStandard surgical scissors were modified to create shunt scissors that were tested on the benchtop and used in the operating room. In all cases the shunt scissors proved easy to use and allowed the efficient and reliable creation of a subgaleal valve pocket in a technically pleasing manner.CONCLUSIONSShunt scissors represent an incremental technical advance in the field of neurosurgical shunt operations.
Details
- Title: Subtitle
- Shunt scissors: technical note
- Creators
- Ralph G Dacey - 1Department of Neurosurgery, Washington University, St. Louis, MissouriOliver E Flouty - 2Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IowaM. Sean Grady - 3Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania; andMatthew A Howard - 2Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IowaMarc R Mayberg - 4Department of Neurosurgery, University of Washington, Seattle, Washington
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgery, Vol.129(5), pp.1200-1202
- DOI
- 10.3171/2017.6.JNS171108
- PMID
- 29219754
- ISSN
- 0022-3085
- eISSN
- 1933-0693
- Language
- English
- Date published
- 11/2018
- Academic Unit
- Neurology; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984020634002771
Metrics
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