Limited midline myelotomy for visceral pain
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2024-1-17 17:23
好好的告个别吧~
手术无菌技术
桡骨创伤入路A部分
Total laparoscopic hysterectomy
骨关节炎
腰椎椎间关节经椎板螺丝钉固定
肝门胆管癌切除术(86例切除经验 1983-1993)
李国新超声刀九字诀之综合应用:解剖肠系膜下动脉
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Limited midline myelotomy for visceral pain
M. Benjamin Larkin, MD, PharmD, Robert Y. North, MD, PhD, Aditya Vedantam, MD, and
Ashwin Viswanathan, MD
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
The traditional commissural myelotomy consists of a sagittal cut in the midline and was originally described by Greenfield and performed by Armour in 1926. Today, myelotomy refers to the selective disruption of the ascending visceral pain pathway. The success of the procedure is incumbent on the correct identification of the midline. Limited midline open myelotomy for the treatment of medically intractable abdominal or pelvic visceral cancer pain, with the aid of somatosensory evoked potentials to identify midline, offers patients superior pain relief over similar percutaneous techniques. Multicenter registries are needed to better elucidate the best surgical technique for this procedure.
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