Tuesday, May 24, 2016

NEURO SURGICAL Procedures ventriculography

Ventriculography
Objective
To study the distortions of the ventricular system due to disease:
   By injection of radio-opaque contrast medium.
Position
Supine.
Anesthesia
Local.
Procedure
1.  Incision 1.5 inches from midline in parietal area.
2.  Make a burr hole.
3.  Dura incised.
4.  Insert cannula measure pressure.
5.  Inject radio-opaque material.
Instruments
   Sponge-holding forceps (Rampley), 2
   Scalpel handle No. 4 with No. 22 blade (Bard Parker)
   Scalpel handle No. 5 with No. 15 or 11 blade (Bard Parker)
   Fine dissecting forceps, toothed (Gillies)
   Medium dissecting forceps, non-toothed
   Medium dissecting forceps, toothed (Lane’s)
   Artery forceps, straight (Moynihan), 5
   Scissors, stitch
   Scissors curved (Metzenbaum)
   Scissors curved (Strabismus)
   Scissors straight (Iris)
   Dura hooks, sharp and blunt
   Periosteal elevator (Adson)
   Dissector (McDonald) small aneurysm needle
   Dura separator (Sergeant’s)
   Dressing forceps (Tilley or Olivecrona)
   Bone nibblers, curved on flat and angled on side, 2
   Skull brace (Hudson)
   Skull perforators and burrs (Hudson)
   Retractors, self-retaining
   Fine needle holder
   Diathermy leads, electrodes, scabbard and lead anchoring forceps
   Spinal manometer
   CSF specimen bottles
   10 ml syringe
   Bonney’s blue
   Steel rule and skin pen
   Ventricular cannula
   Towel clips, 5
   Irrigation syringe
   Pint measure with warm saline
   Local anesthesia requisites
   Suction tubing, fine nozzles and tube anchoring forceps

   Fine Nelaton catheters, polyvinyl or latex rubber with spigots, 5.

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