Craniotomy
Published on Nov 19, 2015
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PRESENTATION OUTLINE
CRANIOTOMY
- Involves incising the cranium for access to the brain
INSTRUMENTS USED
- # 10, 15, and 11 knife blade
- Marking pen
- Rubber bands for dandy clamp
- Glidel wafers for placement into tumor bed
DRESSING USED
- Telfa for specimen
- Inner contact gauze
- 4x4 sponges
- Kerlix
SURGICAL PROCEDURE
- Digital pressure is applied to each side of marked line for hemostasis
- U shaped incision is performed
- Raney scalp clips are applied over the upper skin edges
- After hemostasis has been achieved, the scalp flap is dissected
- It is folded backward over a laparotomy sponge and secured to the drape
SURGICAL PROCEDURE CONT'D
- Two or more burr holes are made in The cranium with air powered burr
- After each burr hole has been connected the bone flap is carefully lifted
- Bleeding around the bone edges is controlled with bone wax
- A small incision is made with a # 11 or # 15 blade a
- And is also extended with metzenbaum or dura scissors
SURGICAL PROCEDURES CONT'D
- Cottonoid patties are placed under the dura
- Brain spoons are placed and held manually
- The pathological condition is treated
- Hemostasis is achieved with warm saline irrigation
- A hemovac drain is placed in the epicranium
