Tuesday, May 31, 2016

NEURO SURGICAL PROCEDURE 2 Burr hole

Burr Hole
Objective
In cases of well localized lesion, e.g. tumors, abscess and extradural subdural blood collection.
   Drainage of collected fluid
   Obtaining biopsy material.
Position
Supine, lateral or prone.

Anesthesia
Local.
Procedure
1.  Upto exposure of dura same as ventriculography.
2.  Extra and subdural hematoma drained but may require an extension to craniotomy.
3.  Abscess cysts and tumor sought with fine needle.
4.  Abscess and cysts aspirated and drained.
5.  Tumor aspirated and material smeared on slides.
Instruments
   As for ventriculography
   Glass microscope slides, 7. 6 cm × 2. 5 cm (3 in × 1 in)

   In cases of brain abscess a selection of short rubber tubing of medium bore, 5 cm long will be required: also antibiotic solution.




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