• Minim Invasive Neurosurg · Aug 2011

    Simple, effective, supine positioning for the retrosigmoid approach.

    • S D Wait, R Gazzeri, M Galarza, and C Teo.
    • Department of Neurosurgery, Barrow Neurological Institute/St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. wait_scott@yahoo.com
    • Minim Invasive Neurosurg. 2011 Aug 1;54(4):196-8.

    BackgroundThe retrosigmoid approach is often used for posterior fossa pathology. Many variations of positioning exist. Here, we report a simple, safe, and quick positioning technique which maximizes patient safety, surgeon comfort, and intraoperative view.MethodsWe reviewed the senior author's prospective surgical database for retrosigmoid approaches to the posterior fossa and noted any complications or difficult exposures.ResultsOver 970 retrosigmoid operations were performed over the course of 19 years. There were no positioning-related complications and no aborted surgeries due to inadequate exposure. No normal cerebellum was ever resected to increase exposure and no retractor was ever used in the posterior fossa.ConclusionsSupine positioning for the retrosigmoid approach is an excellent and safe positioning alternative.Georg Thieme Verlag KG Stuttgart · New York.

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