Neurosurgery
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Surgical wounds after craniotomy heal with primary closure in most cases; however, significant comorbidities, multiple procedures, and history of tumor increase the risk of wound breakdown. Craniotomy wounds often require sophisticated coverage by a plastic surgeon using regional or microvascular flaps to address exposed intracranial contents. Unfortunately, timely treatment of craniotomy wounds may be difficult as a result of limitations of plastic surgery consultation, specialized operating room staffing, and operating room time. Infected wounds may need serial debridement and antibiotic therapy before definitive closure, and patients with dehisced or infected craniotomy wounds may need medical and nutritional optimization. ⋯ DRT, dermal regeneration template.
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Occurrence of spinal epithelioid sarcomas is rare, with few cases reported in the literature. Although wide local resection is the recommended treatment, this technique is challenging in the spine. ⋯ ES, epithelioid sarcomasMEP, motor evoked potentialSSEP, somatosensory evoked potential.
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Recent research on radiation exposure in minimally invasive surgery for transforaminal lumbar interbody fusion (MIS TLIF) has led to the development of a low-dose radiation fluoroscopy protocol, with resulting reductions in fluoroscopy times and radiation exposures. ⋯ AP, anteroposteriorBMI, weight in kilograms divided by height in meters squared (kg/m)kVp, kilovoltage potentialMIS, minimally invasive surgeryMIS TLIF, minimally invasive surgery for transforaminal lumbar interbody fusionODI, Oswestry Disability IndexTLIF, transforaminal lumbar interbody fusionVAS, visual analog scale.