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Use of Blunt Scalp Hooks for Abdominal Procedure in Lumboperitoneal Shunt Placement: Technical Note
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- KAWAHARA Takashi
- Division of Neurosurgery, Atsuchi Neurosurgical Hospital
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- HIGASHI Takuichiro
- Division of Neurosurgery, Atsuchi Neurosurgical Hospital
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- TOKIMURA Hiroshi
- Department of Neurosurgery, Kagoshima University Graduate School of Medical and Dental Sciences
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- ARITA Kazunori
- Department of Neurosurgery, Kagoshima University Graduate School of Medical and Dental Sciences
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- ATSUCHI Masamichi
- Division of Neurosurgery, Atsuchi Neurosurgical Hospital
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- TAKASAKI Koji
- Division of Neurosurgery, Atsuchi Neurosurgical Hospital
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Description
In obese patients, we often find difficulty in laparotomy for placing a lumboperitoneal shunt catheter. The authors introduced an easy technique to get a sufficiently wide and shallow operative field through small abdominal incision in obese people. Four blunt scalp hooks and rubber bands, commonly used in craniotomy, were prepared. The fat layer and the rectus abdominis muscle layer were retracted and pulled up using these hooks. Blunt scalp hooks were useful for safe and effective retraction of abdominal wall, which made a sufficient and shallow operative field.
Journal
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 54 (7), 552-553, 2014
The Japan Neurosurgical Society