Instrumentation for

Neurosurgery.
RHOTONS ANATOMY. VOL 53. PART 1. LIPPINCOT & WILKINS.
MICRONEUROSURGERY. MG. YASARGIL. VOL 1. GEORG THIEME VERLAG.

Stability.
Instruments are required to provide stability to the
patient, to the surgeon and to the operating field.

Head Fixation Devices.

Mayfield- Keys
Doro
Sugita

Instrument Selection.

Macrosurgical.
Microsurgical.

Movility.
With stability of the operating field achieved, the
surgeon requires instrumentation wich will
maximize movility in precise dissection and
hemostasis.
Sharp accurate dissection must be accomplished in
deep narrow opening with instruments that are
delicate yet strong and that do not interfere with
vision.
M.G. YASARGIL ET AL 1977.

Bayonet Forceps.
Adson

Cushing

8 cm
9.5
cm
11
cm

Dissecting Forceps.

Tissue Forceps.

Gerald Tissue Forceps.

Tissue Forceps.

Brain Retraction.
Hand-held retraction by an assitant is inadequate
for neurosurgical operations.

Bipolar coagulation.
Greenwood 1940-1950
Malis 1950-1960
The neurosurgeon will be most concerned with the
size, shape, weight and spring of the bipolar
coagulation forceps.
The bayonet shape is required to avoid the surgeon
s hand blocking the field of vision.

Scissors.
Squeze grip and jilligator type scissors are available
in a variety of sizes and shapes. They should have a
smooth closing action and cut cleanly.

Scalpels.

High Speed Drill.

An important concept in microsurgery has been the
removal of bone from the base of the skull to create
the necesary gap for operating without significant
brain retraction.
Tungsten steel cutting and diamond burrs.