Dr. Ali Al-Bayyati and Dr. Munir Elias

Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

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Neurosurgical Encyclopedia
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neurooncology.me
pinealomas.com
pituitaryadenomas.com 

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Stem Cell Therapy Site
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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

18-AUGUST-2002  NISREEN MUWAFAQ AL-SAMMAN  PITUITARY ADENOMA . CONDITION OF FAILED ATTEMPT TO REMOVE THE TUMOR WITH SUBSEQUENT CSF LEAK ELSEWHERE.

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient had 2 problems to resolve. Removal of the tumor and filling the sphenoid cavity with muscle to prevent the CSF.

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The record of this event was done 08-February-2013 to compare the BFW  with the Leica HM500. Both are full of defects and up to now I cannot achieve the acceptable quality of recording system. The BFW system has orange blur in the center of the camera and the focus is not centric. The Leica MRDS4 is bad quality and all the Leica system is full of defects.

 

Anamnesis

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The patient a Jordanian citizen living in UAE was operated 29-June-2002 elsewhere for pituitary adenoma through transsphenoidal approach and was reoperated another time by 2 neurosurgeons with repeat transsphenoidal approach for CSF leak and 2 surgeries for LPS. Control MRI showed that the pituitary adenoma still the same as before surgery and the CSF taking place from the left parasellar region.

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Transsphenoidal approach was undertaken from the right nostril, since the most part of the tumor is in the left parasellar region extending to the left supra-retrosellar areas. The pituitary tumor was identified and practical total resection achieved and a huge piece of muscle harvested from the quadriceps muscle stitched to the mucosa aided with glue was pushed and fixed to the cavity of the tumor bed.

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Routine closure of the wound. Smooth postoperative recovery. There is no CSF leak and the patient was discharged the third postoperative day.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


 

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

  

 

 

 

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