Aborting a neurosurgical procedure: analyzing the decision factors, with endoscopic third ventriculostomy as a model.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Jonathan Roth, Shlomi Constantini

Abstract

Aborting a neurosurgical procedure is a situation in which the surgeon modifies the original surgical plan and decides to stop a procedure without achieving the pre-operative goal. While adhering to predefined goals is important, intra-operative judgment, especially in terms of adjusting the risk/benefit ratio in response to real-time data, may change the balance and lead, in selective scenarios, to aborting of a procedure. The literature regarding aborting a surgical procedure is sparse, with no objective guidelines on when, and how, to make such a decision. Defining "when to abort" is difficult and is influenced by many factors, including unexpected intraoperative findings, the surgeon's surgical experience and perspective, and the patient and family perspective. Aborting a procedure is a decision that must be ultimately determined by the surgical findings and the individual treatment alternatives. The aim of this paper is to discuss the condition of aborting a neurosurgical procedure, using the relatively common endoscopic third ventriculostomy (ETV) as a model procedure prototype.

References

Jan 1, 1992·Journal of Neurosurgery·H J HoffmanS I Blaser
Aug 4, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Christian Sainte-RoseAlain Pierre-Kahn
Sep 15, 2006·Journal of Neurosurgery·Paola PerettaGiuseppe Cinalli
Jun 5, 2007·Quality & Safety in Health Care·Rhona FlinSteven Yule
Mar 31, 2009·Journal of Neuro-oncology·E Brannon MorrisThomas E Merchant
Dec 17, 2009·ANZ Journal of Surgery·David M A Francis
Feb 4, 2010·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M GubaI D McGilvray
Oct 5, 2010·Journal of Neurosurgery. Pediatrics·Abhaya V KulkarniUNKNOWN Canadian Pediatric Neurosurgery Study Group
Apr 12, 2011·American Journal of Surgery·Keryn PauleyGeorge Youngson
May 4, 2013·ANZ Journal of Surgery·Wendy CrebbinDavid A K Watters
Jun 4, 2016·Journal of Neurosurgery. Pediatrics·Abhaya V KulkarniUNKNOWN Hydrocephalus Clinical Research Network
Jun 18, 2016·Perioperative Medicine·Ramai Santhirapala, Ramani Moonesinghe
Dec 1, 2012·Journal of Robotic Surgery·Wooju JeongCraig G Rogers
Jan 25, 2017·JAMA : the Journal of the American Medical Association·Karan R ChhabraJustin B Dimick
Aug 16, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Taiwo AkhigbeDiederik Bulters

❮ Previous
Next ❯

Citations

May 29, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Stephanie AnetsbergerMahmoud Messerer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Scientific American
T Beardsley
The Human Life Review
Susan Austin
Polski tygodnik lekarski
E KowalskiW Kokoszka
© 2021 Meta ULC. All rights reserved