Neurosurgical Technique and Approach

Abstract

In a neurosurgical procedure, a suitable surgical environment should be established to conduct the operation in a comfortable position. Therefore, the satisfactory layout of surgeon, staff, and equipments is important.

It is difficult to maintain an intraoperative field in serious neurosurgical disease due to intracranial hypertension. It is necessary to choose the most appropriate surgical route to lesion and methods which drops intracranial pressure prior to operation in order to prevent brain damage. Further, additional attention is required in comparison with general surgery, because systemic circulation and respiration are also damaged due to intracranial hypertension, cerebrovascular autoregulation breakdown, and decreased circulating blood. There is a requirement to maintain the cerebral oxygen supply to prevent neurosurgical complications.