Dr. Pablo Rubino's Surgery
At number one surgical training app, SurgSchool, we present a new highly complex surgery: the Microsurgical clipping of a posterior communicating artery (PCom) aneurysm with fetal configuration, made by the Dr. Pablo Rubino, head of Neurosurgery at the German Hospital in Buenos Aires, with extensive experience in cerebrovascular pathology.
Technical details of the procedure
The case corresponds to a young patient with a PCom aneurysm in fetal configuration, an anatomical variant in which the posterior communicating artery maintains a dominant caliber that irrigates the posterior cerebral artery. This characteristic implies a increased ischemic risk during clipping, so the preservation of the PCom is critical.
El Dr. Rubino employ a pterional approach, with careful dissection of the Sylvian fissure and microsurgical exposure of the M1 and M2 segments of the middle cerebral artery, as well as the internal carotid artery and optic nerve. During the dissection, the aneurysm and its relationship to the oculomotor nerve and tentorium, performing precise clipping with a lateral curved clip to completely exclude the aneurysmal sac maintaining the patency of the PCom and the perforating branches.
Educational and training importance
This procedure constitutes a Excellent educational opportunity for neurosurgeons and residents interested in vascular microsurgery, offering a clear vision of the surgical strategy, anatomical orientation and intraoperative decision-making when faced with a complex anatomical variant.
The video is narrated step by step, with high quality images and a didactic approach, characteristics that distinguish SurgSchool and world's leading platform for online surgical training, used by thousands of specialists in more than 50 countries.
Dr. Rubino's surgery reinforces the value of vascular microsurgery as a therapeutic and teaching tool, especially in cases of complex aneurysms. High-quality, step-by-step instructions are provided by international neurosurgeons.
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