The Lone Star Retractor System in Neurosurgery
| Autor: | Antonino Raco, Amedeo Piazza, Massimo Miscusi, Stefano Forcato, Alessandro Di Bartolomeo, Luca Ricciardi, Sokol Trungu, Alba Scerrati |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Local pain
medicine.medical_specialty Brain Neoplasms business.industry medicine.medical_treatment Mean value Lone star system retractor Microsurgery Neurosurgery Neurosurgical retractor microsurgery Neurosurgical Procedures NO Surgery Retractor lone star system retractor neurosurgical retractor neurosurgery Humans Medicine Neurology (clinical) business Neurosurgical department Vas score |
| Zdroj: | World Neurosurgery. 153:36-40 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2021.06.097 |
| Popis: | Background We investigated the role of a self-retaining retractor system, commonly used in ear, abdominal, vascular, urologic and gynecologic surgeries: the Lone Star retractor system. We report our experience in using the Lone Star retractor in different brain surgeries, at a single neurosurgical department. Methods In 2019, patients who underwent brain surgery and in which the Lone Star Retractor System was used were considered for inclusion. Clinical and surgical data of included patients were prospectively collected. Postoperative VAS for local pain, and a properly designed intraoperative retractor stability score, were collected. Results Over 2019, the Lone Stare Retractor was used in 20 neurosurgical procedures: 9 high-grade glioma, 2 low-grade glioma, 4 cerebral metastases, and 5 meningiomas. Postoperative mean VAS score was 3.5 (range: 2–4). Intraoperative retractor stability score mean was 2 in frontal, 2 in pterional, 1.75 in subtemporal, 2 in interhemispheric, and 0.5 in suboccipital approaches. The Stony Brook Scar Evaluation Scale mean value was 4.4 (range: 3–5). Conclusions In our institutional experience, the Lone Star retractor showed many advantages in different brain procedures, when compared with standard fishhooks and other retractors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect