TY - JOUR T1 - A New Dynamic Arm Holding Device For Microsurgical Operations In Neurosurgery AU - Altun, Adnan AU - Çokluk, Cengiz AU - Aydın, Keramettin AU - Engin, Murat Sinan AU - Yarar, Ercan PY - 2012 DA - February DO - 10.5835/jecm.omu.28.03.007 JF - Deneysel ve Klinik Tıp Dergisi JO - J. Exp. Clin. Med. PB - Ondokuz Mayıs University WT - DergiPark SN - 1309-4483 SP - 111 EP - 116 VL - 28 IS - 3 LA - en AB - ABSTRACTThe hand holding devices are generally used during the course of micro-surgical operationsin neurosurgery to prevent hand tremor. Recently we designed a new instrument forholding two arms. This instrument used for stabilization of two arms especially duringmicrosurgical operations. We used this instrument in different type of operations suchas aneurysm surgery, brain tumor surgery, hypophysis surgery, pontocerebellar tumorsurgery and posterior fossa surgery. The ability of the instrument in the preventing of armtremor, and comfort of the arm during surgery was graded as bad, good and excellent interms of the description of surgeon during microsurgical operations. This instrument wasused during 20 neurosurgical operations. The capability of the instrument during microsurgicaloperation was found as excellent in 65% of the operations. The capability wasfound as good in 35% of the operation. In conclusion; this instrument holds two armsin the same time and provide unrelated moving from each others. The capability of thisinstrument is high in the preventing of hand tremor. This instrument may be used duringmicrosurgical operations in neurosurgery.J. Exp. Clin. Med., 2011; 28:111-116 KW - Hand tremor Microsurgery Neurosurgery Hand holding device Brain surgery Surgical equipment CR - Gilsbach, J.M., Lutze, T., Seeger, W., 1984. Combined retractor and hand-rest system for neurosurgery. Neurosurg. Rev. 7, 85-87. CR - Gilsbach, J.M., Mann, W.J., Rochels, R., Amedee, R.G., Lieb, W., Laborde, G.,1994. Pterional/Lateral approach to orbital tumors. Skull Base Surg. 4, 72-5. CR - Kriss, T.C., Kriss V.M., 1998. History of the operating microscope: from magnifying glass to microneurosurgery. Neurosurgery. 42, 899-907. CR - Sugita, K., Kobayashi, S., Takemae, T., Matsuo, K., Yokoo, A., 1980. Direct retraction method in aneurysm surgery. Technical note. J. Neurosurg. 53, 417-419. CR - Sugita, K., Kobayashi, S., Shintani, A., Mutsuga, N., 1979. Microneurosurgery for aneurysms of the basilar artery. J. Neurosurg. 51, 615-20. CR - Sugita, K., Hirota, T., Mizutani, T., Mutsuga, N., Shibuya, M., Tsugane, R., 1978. A newly designed multipurpose microneurosurgical head frame. Technical note. J. Neurosurg. 48, 656-657. CR - Yaşargil, M.G., 2010. Personal considerations on the history of microneurosurgery. J. Neurosurg. 112, 1347. CR - Yaşargil, M.G., 2005. From the microsurgical laboratory to the operating theatre. Acta Neurochir (Wien). 147, 465-468. CR - Yaşargil, M.G., 1999. A legacy of microneurosurgery: memoirs, lessons, and axioms. Neurosurgery. 45, 1025-1092. CR - Yasargil, M.G., 1997. The advent of microsurgery. Mt. Sinai J. Med. May. 64, 164-165. CR - Yaşargil, M.G., 1988. Reflections of a neurosurgeon. Clin. Neurosurg. 34, 16-21. CR - Yaşargil, M.G., Boehm, WB., Ho, RE. 1978. Microsurgical treatment of cerebral aneurysms at the bifurcation of the internal carotid artery. Acta Neurochir (Wien). 41, 61-72. CR - Yaşargil, M.G., Chandler, W.F., Jabre, A.F., Roth, P., 1988. Neurosurgical horizons. Clin. Neurosurg. 34, 22-41. CR - Yasargil, M.G., Vise, W.M., Bader, D.C., 1977. Technical adjuncts in neurosurgery. Surg. Neurol. 8, 331-336 UR - https://doi.org/10.5835/jecm.omu.28.03.007 L1 - https://dergipark.org.tr/en/download/article-file/190097 ER -