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Aborting a neurosurgical procedure: analyzing the decision factors, with endoscopic third ventriculostomy as a model

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ARTICLE DOWNLOAD

Aborting a neurosurgical procedure: analyzing the decision factors, with endoscopic third ventriculostomy as a model

10$

Jonathan Roth & Shlomi Constantini 

Abstract

Aborting a neurosurgical procedure is a situation in which the surgeon modifies the original surgical plan and decides to stop a procedure without achieving the pre-operative goal. While adhering to predefined goals is important, intra-operative judgment, especially in terms of adjusting the risk/benefit ratio in response to real-time data, may change the balance and lead, in selective scenarios, to aborting of a procedure. The literature regarding aborting a surgical procedure is sparse, with no objective guidelines on when, and how, to make such a decision. Defining “when to abort” is difficult and is influenced by many factors, including unexpected intraoperative findings, the surgeon’s surgical experience and perspective, and the patient and family perspective. Aborting a procedure is a decision that must be ultimately determined by the surgical findings and the individual treatment alternatives. The aim of this paper is to discuss the condition of aborting a neurosurgical procedure, using the relatively common endoscopic third ventriculostomy (ETV) as a model procedure prototype.

Only units of this product remain
Year 2020
Language English
Format PDF
DOI 10.1007/s00381-020-04562-1