How to Answer Case Operative Report Questions (Complete Guide)

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Case 5: Operative Report PREOPERATIVE DIAGNOSIS: Progressive hydrocephalus POSTOPERATIVE DIAGNOSIS: Progressive hydrocephalus NAME OF PROCEDURE: Endoscopic-assisted placement of a right-sided frontal ventriculoperitoneal shunt, using the Medos system set at 100 INDICATIONS: The patient presented with acute hydrocephalus, for which he was successfully treated by the insertion of an external ventricular drain. We did inspect the floor of the 3rd ventricle at the initial surgery, and it appeared the floor was quite thickened and the prepontine space was quite narrow. From there, we proceeded with a dye study, and it appeared he has a very significant 4th ventricular outlet obstruction; therefore, placement of a programmable ventriculoperitoneal shunt was recommended. DESCRIPTION OF PROCEDURE: The patient was brought to the Operating Room, after being premedicated. General anesthesia was completed. The surgical site was prepared. The external ventricular drain was removed. The scalp was opened and a figure-of-8 bur hole was completed. We brought in the intraoperative head ultrasound and mapped the ventricular system. The vision scope was then introduced into the body of the right lateral ventricle. The catheter was endoscopically guided through the foramen to the 3ry ventricle. The Medos

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