If required by a tumor extending into the neck, the internal and external carotid arteries can be exposed and controlled. Through
a partial mastoidectomy and after removal of the bone covering the jugular tubercle, the end of the sigmoid sinus and then the posteroinferior part of the jugular foramen are reached.
RESULTS: This technique is efficient to expose tumors extending into the jugular foramen. Contrary to the infratemporal approach, it has the main advantage PFT�� molecular weight of avoiding petrous bone drilling and associated potential complications. Lower cranial nerves are well exposed in the neck. In patients with schwannomas, complete resection with selective dividing of only the few involved rootlets can be achieved.
CONCLUSION: The juxtacondylar approach is an efficient approach to tumors located in the jugular foramen. It necessitates control of the third segment of the vertebral artery but has the advantage of avoiding
complications associated with petrous bone drilling. Extension beyond the this website jugular foramen requires combination with an infratemporal or a retrosigmoid approach.”
“Purpose: We assessed the face and content validity of a new portable laparoscopic trainer, the EZ Trainer.
Materials and Methods: The portable, affordable EZ trainer system was conceived, designed and commissioned by academic surgeons from the departments of urology at our 2 institutions with the express purpose of advancing laparoscopic surgical training. A total of 42 participants, including general surgeons, obstetricians/gynecologists, urologists and industry representatives, assessed the face and the content validity of the trainer using a standard questionnaire. Participants were stratified into high (greater than 30 laparoscopic cases per year) and low (less than 30 cases per year) volume laparoscopists.
Results: Of the participants 96% rated the trainer as a realistic laparoscopic training format. Of high volume laparoscopists 81.5% rated the trainer as comfortable to use, 92.6% found that
the trainer was a realistic practice format, 70.4% would purchase the trainer for personal use and 85.2% would recommend that the trainer be made available to surgical residents in their discipline. Of low volume laparoscopists 87% rated the trainer as comfortable to use, 93.3% found that the trainer was a realistic practice format, find more 73.3% would purchase the trainer for personal use and 80% would recommend that the trainer be made available to diverse surgical residents.
Conclusions: The EZ trainer system has face and content validity as a portable laparoscopic trainer across a broad range of surgical disciplines.”
“OBJECTIVE: The objective of this work is to present the preliminary clinical experience we acquired in using the new PoleStar generation, N20 (Medtronic Navigation, Louisville, CO), in a modified conventional operating room.
METHODS: PoleStar N20 is a 0.