TY - JOUR
T1 - How I do it
T2 - Management of venous bleeding from the superior petrosal vein during endoscopic microvascular decompression
AU - Komatsu, Fuminari
AU - Ghosh, Partha
AU - Sengupta, Robin
N1 - Publisher Copyright:
© 2021, Springer-Verlag GmbH Austria, part of Springer Nature.
PY - 2021/9
Y1 - 2021/9
N2 - Background: A repair strategy for venous bleeding from the superior petrosal vein (SPV) is essential during endoscopic microvascular decompression. Method: Sliced oxycellulose seats are rounded off, making balls around 10 mm in diameter. When venous bleeding arises from the SPV, the first oxycellulose ball is placed just behind the SPV in the surgical view. A second ball is then applied in front of the SPV. The SPV is thus immediately and entirely covered by oxycellulose, and hemostasis is safely achieved with the preservation of the SPV. Conclusion: This oxycellulose ball technique offers simple, reliable control of venous bleeding from the SPV.
AB - Background: A repair strategy for venous bleeding from the superior petrosal vein (SPV) is essential during endoscopic microvascular decompression. Method: Sliced oxycellulose seats are rounded off, making balls around 10 mm in diameter. When venous bleeding arises from the SPV, the first oxycellulose ball is placed just behind the SPV in the surgical view. A second ball is then applied in front of the SPV. The SPV is thus immediately and entirely covered by oxycellulose, and hemostasis is safely achieved with the preservation of the SPV. Conclusion: This oxycellulose ball technique offers simple, reliable control of venous bleeding from the SPV.
KW - Endoscopic keyhole surgery
KW - Posterior skull base
KW - Root entry zone
KW - Trigeminal neuralgia
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U2 - 10.1007/s00701-020-04659-1
DO - 10.1007/s00701-020-04659-1
M3 - Article
C2 - 33415415
AN - SCOPUS:85098849806
SN - 0001-6268
VL - 163
SP - 2403
EP - 2405
JO - Acta Neurochirurgica
JF - Acta Neurochirurgica
IS - 9
ER -