{"title":"Neurosurgery Technical Procedure: Surgeon's Position during Microscopic Transsphenoidal Surgery.","authors":"Orlando De Jesús, Alejandro Matos, Eric Carro","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The surgeon's position in relation to the patient has been modified throughout the years for transsphenoidal surgery (TSS). Nowadays, if a microscopic approach is used, most centers place the surgeon at the side of the patient's head with the patient facing him. In this paper, we propose a more ergonomic and time-proven setup for this type of surgery. Since the early 1980s, our neurosurgical section has been using an approach where the surgeon stands behind the patient's head with the microscope tower on the surgeon's back. This position is rarely mentioned in the literature. We want to refresh this position for those who still use the microscope and those young neurosurgeons and residents who do most of their work endoscopically. We consider that when the surgeon is standing behind the patient's head, it is more comfortable for the surgeon. Also, it allows for the assistant to be close enough to help during the surgery. This technical note may bring new ideas for those using the microscopic TSS.</p>","PeriodicalId":54529,"journal":{"name":"Puerto Rico Health Sciences Journal","volume":"40 2","pages":"87-89"},"PeriodicalIF":0.4000,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Puerto Rico Health Sciences Journal","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
The surgeon's position in relation to the patient has been modified throughout the years for transsphenoidal surgery (TSS). Nowadays, if a microscopic approach is used, most centers place the surgeon at the side of the patient's head with the patient facing him. In this paper, we propose a more ergonomic and time-proven setup for this type of surgery. Since the early 1980s, our neurosurgical section has been using an approach where the surgeon stands behind the patient's head with the microscope tower on the surgeon's back. This position is rarely mentioned in the literature. We want to refresh this position for those who still use the microscope and those young neurosurgeons and residents who do most of their work endoscopically. We consider that when the surgeon is standing behind the patient's head, it is more comfortable for the surgeon. Also, it allows for the assistant to be close enough to help during the surgery. This technical note may bring new ideas for those using the microscopic TSS.
期刊介绍：
The Puerto Rico Health Sciences Journal (PRHSJ) is the scientific journal of the University of Puerto Rico Medical Sciences Campus. It was founded in 1982 as a vehicle for the publication of reports on scientific research conducted in-campus, Puerto Rico and abroad. All published work is original and peer-reviewed. The PRHSJ is included in PubMed/Medline, SCOPUS, Latindex, EBSCO, SHERPA/RoMEO, Science Citation Index Expanded (SciSearch®) and Journal Citation Reports/Science Edition. All papers are published both online and in hard copy. From its beginning, the PRHSJ is being published regularly four times a year. The scope of the journal includes a range of medical, dental, public health, pharmaceutical and biosocial sciences research. The journal publishes full-length articles, brief reports, special articles, reviews, editorials, case reports, clinical images, and letters arising from published material.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
