OPERATIVE CARE IN PEDIATRIC NEUROSURGERY

Abstract

Pediatric neurosurgery differs from conventional to treat children in various stages of physical development and contemplate nonexistent diseases in other areas. For this reason several techniques based on details must be observed to increase the effectiveness and safety of the procedures. We analyzed the techniques developed in our department over twenty years (1994-2014) and described them. They were divided into general care, observed in all procedures and specific to particular situations. This care is understood throughout the all the surgical procedure, and include pre, intra and postoperative periods. The general care are family watch out, integration with anesthesiology, prevention of contamination through the skin, timing  and  operating environment, surgical planning, preparation and positioning, hemostasis, and postoperative care. Among the specific care we include the posterior fossa approach, brain tumors, craniosynostosis, t neuroendoscopy and spinal dysraphism. The systematization and the everyday use of such techniques reversed in better childcare met.