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3 results on '"Jorge Ríos-Zermeño"'

1. Microsurgical training through laboratory experience: A step-by-step practical guideline

Author

Juan Luis Gómez-Amador, Jorge Ríos-Zermeño, Ricardo Marian-Magaña, Marcos V Sangrador-Deitos, Gerardo Y. Guinto-Nishimura, Obet J Canela-Calderón, Gerardo Cano-Velazquez, Daniel Ballesteros-Herrera, and Jorge F. Aragon-Arreola

Subjects
medicine.medical_specialty, Neurosurgical referral, Microsurgery, RD1-811, business.industry, medicine.medical_treatment, Revascularization, Practical guideline, Vascular neurosurgery, Mexico city, Medicine, Surgical laboratory, Training, Medical physics, Surgery, Neurology (clinical), Neurosurgery, Neurology. Diseases of the nervous system, business, RC346-429
Abstract

Background Microsurgical laboratory training remains the mainstay to acquire, improve, and perfect surgical abilities. Microvascular anastomotic techniques are of key importance for revascularization procedures, such as in giant cerebral aneurysms, skull base complex tumours, and symptomatic ischemic cerebrovascular diseases. Methods We show the techniques, materials, and experience performed in a microsurgical laboratory of a neurosurgical referral center in Mexico City. Results We describe the materials, non-specimen suture practices, specimen manipulation, and finally all the individual procedures we are capable to perform on live specimens. Conclusions The microsurgical laboratory is an indispensable tool for the acquisition of the so needed microsurgical skills in neurosurgery, having a very special emphasis in vascular neurosurgery.

Published
2022

2. Orbitocranial approach for giant middle cerebral artery bifurcation aneurysms: Is it necessary?

Author

José Gerardo Arroyo-del Castillo, Ricardo Marian-Magaña, Daniel Ballesteros-Herrera, Jorge Ríos-Zermeño, Jorge F. Aragon-Arreola, Marcos V Sangrador-Deitos, Luis A. Rodríguez-Hernández, Juan Luis Gómez-Amador, Aldo G. Eguiluz-Melendez, and Gerardo Y. Guinto-Nishimura

Subjects
medicine.medical_specialty, Subarachnoid hemorrhage, RD1-811, business.industry, medicine.medical_treatment, Pterional approach, Orbitocranial approach, Middle cerebral artery, Clipping (medicine), medicine.disease, Aneurysm rupture, Clinical report, medicine.artery, medicine, cardiovascular system, Giant aneurysm, Surgery, Neurology (clinical), Radiology, cardiovascular diseases, Neurology. Diseases of the nervous system, business, RC346-429, Orbitocranial
Abstract

Background Standard pterional approaches have largely been used as the first option for middle cerebral artery aneurysms. This approach presents several disadvantages when facing giant aneurysms: aneurysmatic neck cannot be adequately seen and perianeurysmatic architecture is not completely visualized, leading to inappropriate clipping techniques. Orbitocranial approaches have been described in anterior communicating aneurysms, but not in middle cerebral artery bifurcation ones. Methods In this report, we present the case of a patient with subarachnoid hemorrhage secondary to a middle cerebral artery bifurcation aneurysm rupture which was clipped using an orbitocranial approach. We describe the surgical technique step-by-step, present a clinical report, and discuss the advantages and utility of this procedure. Results This technique was performed successfully and uneventfully in our patient, and it proved to be a safe method of clipping these kind of aneurysms, providing adequate visualization for the surgeon and making it safer for the patient. Conclusions We consider the orbitocranial approach as an adequate alternative to the conventional pterional approach when facing giant aneurysms of the middle cerebral artery bifurcations as it offers a much better visualization of the aneurysmatic neck, as well as that of the perianeurysmatic architecture.

Published
2021

3. Microsurgical and Endoscopic Approaches to the Skull Base

Author

Sébastien Froelich, Robert T. Wicks, Marcelo Magaldi Oliveira, Alan R. Cohen, Iype Cherian, Guilherme Gozzoli Podolsky Gondim, HunHo Park, Thiago Albonette Felicio, Ian Witterick, Carlos Eduardo Prata Fernandes Ferrarez, Ahmed Al Jradi, Michael T. Lawton, Jean Anderson Eloy, Carolina Martins, Gustavo Augusto Porto Sereno Cabral, Alexandre B. Todeschini, Rinat A. Sufianov, Prakash Kafle, Hira Burhan, Alexandre Yasuda, Mónica Lem-Carrillo, Renan M. Lovato, Shunya Hanakita, Ricardo L. Carrau, Felipe Bicalho Maluf, Eugenio Cerezo, Aldo G. Eguiluz-Meléndez, Daniel Ronconi, A. Karim Ahmed, Richard Giacomelli, Warley Martins, Juan F. Villalonga, Samuel Kalb, Jose Luis Porras, Benedicto Oscar Colli, Alberto Manuel Ángeles Castellanos, Mariano Socolovsky, Enrique Lopez Berumen, Abdulrahman Al Zahrani, Joshua S. Catapano, Wayne D. Hsueh, William T. Couldwell, Cassius Vinicius Correa dos Reis, Miguel Giudicissi Filho, Peter Nakaji, Gelareh Zadeh, Sunil Munakomi, Jagadish Thingujam, Josephine Volovetz, Pablo F. Recinos, Guilherme Henrique Weiler Ceccato, Robert F. Spetzler, Claire Karekezi, Vincent Dodson, Juan Lopez, José de Jesús Martínez-Manrique, Juan Luis Gómez-Amador, Joao Paulo Almeida, Sebastião Nataniel Silva Gusmão, Gabriel Mauricio Longo-Calderón, Egor S. Markin, Srikant Chakravarthi, Imad N. Kanaan, Veerasigamani Narendrakumar, Fernando Menezes Braga, Daniel Londoño Herrera, Bradley A. Otto, Miguel M. Sanchez, Edgar Nathal, Michael J. Lang, Kentaro Watanabe, Albert A. Sufianov, Fred Gentili, Cristian Ferrareze Nunes, M. Zoli, Nirmeen Zagzoog, Luis A. B. Borba, Martín Granados García, Eduardo Carvalhal Ribas, D. A. Hardesty, José Carlos Esteves Veiga, Jorge Mura, Juan Manuel Revuelta Barbero, Allan Vescan, Mauro A. Tostes Ferreira, Hamid Borghei-Ravazi, S Vignesh, Daniel M. Prevedello, Debraj Mukherjee, Moujahed Labidi, Krishna C. Joshi, Gmaan A. Alzhrani, Diego Méndez Rosito, Izabel Eugênia Costa e Silva, Jorge F. Aragón-Arreola, Roberto Leal da Silveira, Soumya Sagar, Sudeep Shrestha, Varun R. Kshettry, Xiaochun Zhao, Marcio S. Rassi, Ricardo Marian-Magaña, Ramiro López Elizalde, Marcelo Valença, Paul A. Gardner, Albert Rhoton, Aziz Rassi-Neto, Gabriela F. Kalkmann, Laura Matilde Ubaldo Reyes, Gabriel H. Peres, Eder da Silva Rocha, Amin Kassam, Eric W. Wang, Tomás Ries Centeno, James K. Liu, Yair M. Gozal, Aleksandr Yurievich Kovalev, Matthew Cassidy, Humberto Reyna Méndez, Guido Caffaratti, Cristopher G. Valencia-Ramos, Carl H. Snyderman, Duarte N. C. Cândido, José Alberto Landeiro, Vinod Felix, Amparo Sáenz, Atul Goel, Jorge Ríos-Zermeño, Roberta Rehder, Neil Majmundar, Aidar Kh. Safarov, Alvaro Campero, Pramod Chaudhary, Alejandro Monroy-Sosa, Jean G. de Oliveira, Paulo A. S. Kadri, Luis Alberto Ortega-Porcayo, Samuel Romano-Feinholz, José Alfredo Espinosa Mora, and Juan C. Fernandez-Miranda

Subjects
Skull, medicine.anatomical_structure, Computer science, medicine, Anatomy, Base (exponentiation)
Published
2021
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