Principles of Microneurosurgery; James Ausman, MD, PhD

Principles of Microneurosurgery; James Ausman, MD, PhD

  1. SUMMARY: In an interview with Dr. Richard Byrne, Dr. Ausman reviews the principles of micro-neurosurgery, and implementing Operations Analysis theories to the performance of surgery with the goal to reducing the probability of error to zero. Dr. Ausman describes all the components of achieving excellent results from preplanning of the operation, research on each case, operating room organization and personnel management, breaking the surgery in to packages or steps, each to be error free. An understanding of the family and patient is crucial. The final stage of the surgery is the part with different possible outcomes once the pathology is encountered. Planning for each of those possibilities must be made in preoperative planning.The risks are taken by the patient not the surgeon. If an unexpected difficult problem is encountered in the surgery that would effect and change the outcome for the patient which was not discussed with the patient before surgery, this must be discussed with the family or the operation stopped so that the patient can make that personal choice for his/her life. It is not the doctors to decide another's life. Mathematically, the complications are a summation of the errors of each step. To achieve success one must reduce the errors to zero mathematically for each case. Blood loss and transfusion are complications. Meticulous hemostasis must be achieved at each step. Complications for the patient can be life changing. A third nerve deficit for a neurosurgeon undergoing surgery is career changing. Think about any deficit for the patient. Even a urinary infection is a complication that will require treatment with its own complications. Every detail must be perfectly executed for the patent to have a good result. Surgery is a team effort. So the team must know of all the details of the procedure to participate 100%. A plan of the operation is posted on the wall before each operation and given to the member of the team so that they know the steps and can prepare for them. Proper performance of surgery is an Artistic achievement and unblemished beauty for a result. There is only one chance for a perfect result. The patent has entrusted his/her life to you. No mistakes. The goal is Excellence. Good For Video and Podcast (JIA) 26 minutes

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Jaksot(150)

Exposure to Neurosurgery Among Undergraduate Medical Students in Europe: A Scoping Review; Tejas A. Sawant;

Exposure to Neurosurgery Among Undergraduate Medical Students in Europe: A Scoping Review; Tejas A. Sawant;

SUMMARY: Methods: The PRISMA extension for Scoping Reviews (PRISMA-ScR) was used as a reference to guide the search strategy. PubMed was the primary database used to search for articles about “Neurosu...

7 Kesä 24min

Exposure to Neurosurgery Among Undergraduate Medical Students in Europe: A Scoping Review; Tejas A. Sawant;

Exposure to Neurosurgery Among Undergraduate Medical Students in Europe: A Scoping Review; Tejas A. Sawant;

SUMMARY: Methods: The PRISMA extension for Scoping Reviews (PRISMA-ScR) was used as a reference to guide the search strategy. PubMed was the primary database used to search for articles about “Neurosu...

7 Kesä 23min

CP Angle: Extracranial Approaches; Dr. Dennis Malkasian; Part 1

CP Angle: Extracranial Approaches; Dr. Dennis Malkasian; Part 1

SUMMARY: Dr. Dennis Malkasian, Neurosurgeon, Anatomist and Molecular biologist reviews the Surgical Anatomy of the CP ANGLE for Neurosurgeons approaching this area for the treatment of tumors there. A...

7 Kesä 1h 25min

Cauda Equina Neuroendocrine Tumour of the Filum Terminale: A Case Report and Summary of the Literature; Glasgow Neuro Meeting Video Abstracts; Theoklis Kouyialis; Christophoros Christophorou, Christina Oxinou, Demetris Fkiaras.

Cauda Equina Neuroendocrine Tumour of the Filum Terminale: A Case Report and Summary of the Literature; Glasgow Neuro Meeting Video Abstracts; Theoklis Kouyialis; Christophoros Christophorou, Christina Oxinou, Demetris Fkiaras.

SUMMARY: Cauda Equina Neuroendocrine tumours (CENETs), previously known as Cauda Equina Paragangliomas (PGLs), are extremely rare vascular tumours of the spine which are mostly benign, slow-growing an...

7 Kesä 24min

Natural History of Pineal Cysts: A Retrospective Cohort Study;  Yihui Cheng; Glasgow Neuro Meeting Video Abstracts; 2025-2026; Xin Y. Yap, Zahraa Dashti, Steven Tominey, Kevin Owusu-Agyemang, Edward J. St George.

Natural History of Pineal Cysts: A Retrospective Cohort Study; Yihui Cheng; Glasgow Neuro Meeting Video Abstracts; 2025-2026; Xin Y. Yap, Zahraa Dashti, Steven Tominey, Kevin Owusu-Agyemang, Edward J. St George.

SUMMARY: " Pineal cysts (PCs) are frequently identified incidentally on neuroimaging, yet their clinical significance was thought to be benign. While most remain stable, concerns persist regarding the...

7 Kesä 28min

The Impact of a Webinar Series on Student Perspectives to Neuroscience Research Barriers; Emilia Parsi, Alsadeg Bilal, Selnan Wuyep, Chandru Kaliaperumal; Glasgow Neuro Meeting Video Abstracts;

The Impact of a Webinar Series on Student Perspectives to Neuroscience Research Barriers; Emilia Parsi, Alsadeg Bilal, Selnan Wuyep, Chandru Kaliaperumal; Glasgow Neuro Meeting Video Abstracts;

SUMMARY: "Background: Research engagement amongst medical students tends to be minimal until it becomes a curricular requirement, and the specific barriers to early involvement remain unclear. The Gen...

7 Kesä 23min

Young Neurosurgeons Discussions with the Experts; EC-IC Bypass Surgery 1980-2025

Young Neurosurgeons Discussions with the Experts; EC-IC Bypass Surgery 1980-2025

SUMMARY: Drs. Nussbaum and Ausman discuss with Dr. Rennert the years of experience with EC -IC Bypass surgery. For Ischemia the major issue was the 1985 EC-IC Bypass Study, a RCT that was scientifica...

25 Touko 1h 14min

How we built a Stroke Center program in a LMIC for 160 million people? Qasim Bashir; Asif Bashir

How we built a Stroke Center program in a LMIC for 160 million people? Qasim Bashir; Asif Bashir

SUMMARY: Dr. Qasim Bashir, a Board certified Neurologist, Intensivist, Interventionist returned to Pakistan, a LMIC, after studying outside his country for 16 years to help develop healthcare in Punja...

25 Touko 1h 10min

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