[Intracranial endoscopic operations with ultrasonographic support in pediatric neurosurgery (the potentials and outlook)].
The outcomes of intracranial endoscopic operations for occlusive hydrocephalus (65 interventions in 60 children) and intracranial hematomas (11 operations in 10 children) are analyzed. Indications and contraindications for intracranial endoscopic operations, equipment supply, specific features of their performance, and outcomes are discussed. In occlusive hydrocephalus, the outcomes were as follows: hydrocephalus stabilization (38%), complications (15%), mortality (3%), the follow-up lasting as long as 8 years. The dynamic evaluation of the intracranial status (clinical and sound monitoring) is the obligatory condition of intracranial endoscopic operations made for intracranial hematomas. There were no complications in children with intracranial hematomas after planned intracranial endoscopic operations. The application of flexible distal end-controlled endoscopic, ultrasound-stereotactically aimed, and double-maneuver-controlled systems (visual examination through the optic system of an endoscope in combination with intraoperative ultrasonographic monitoring) was shown to be optimal during intracranial endoscopic operations.
Iova
A S
AS
Garmashov
Iu A
IuA
Petraki
V L
VL
D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D002552:Cerebral Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D000075202:Contraindications; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods / Q000639:trends*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000601:surgery; D009493:Neurosurgery / Q000295:instrumentation / Q000379:methods / Q000639:trends*; D017585:Ultrasonography, Doppler, Transcranial
Vnutricherepnye éndoskopicheskie operatsii s ul'trasonograficheskim obespecheniem v neĭrokhirurgichii detskogo vozrasta (vozmozhnosti i perspektivy).