Surgical Neurology
Volume 65, Issue 1 , Pages 38-41 , January 2006

Water dissection technique of Toth for opening neurosurgical cleavage planes

  • Laszlo Nagy, MD

      Affiliations

    • Department of Neurosurgery, National Institute of Neurosurgery, MAV Hospital, Budapest, Hungary
  • ,
  • Keisuke Ishii, MD, PhD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
  • ,
  • Ayse Karatas, MD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
  • ,
  • Hu Shen, MD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
  • ,
  • Janos Vajda, MD, PhD

      Affiliations

    • Department of Neurosurgery, National Institute of Neurosurgery, MAV Hospital, Budapest, Hungary
  • ,
  • Mika Niemelä, MD, PhD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
  • ,
  • Juha Jääskeläinen, MD, PhD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
  • ,
  • Juha Hernesniemi, MD, PhD

      Affiliations

    • Department of Neurosurgery, Helsinki University Central Hospital, 00260 Helsinki, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358 504270220; fax: +358 9 471 87560.
  • ,
  • Szabolcs Toth, MD, DMSc

      Affiliations

    • Department of Neurosurgery, MAV Hospital, Budapest, Hungary

Received 10 May 2005 ,Accepted 18 August 2005.

  • Image Result

    Principle of WDT.

    Principle of WDT.

  • Image Result

    A: Simple syringe. B: Intraoperative picture demonstrates the separation effect of low-pressure WDT under microscope.

    A: Simple syringe. B: Intraoperative picture demonstrates the separation effect of low-pressure WDT under microscope.

  • Image Result

    Convexity meningioma and its delicate separation from eloquent cortex with WDT at the beginning (A) and lost stage (B) of surgery (cf Video 1).

    Convexity meningioma and its delicate separation from eloquent cortex with WDT at the beginning (A) and lost stage (B) of surgery (cf Video 1).

PII: S0090-3019(05)00684-1

doi: 10.1016/j.surneu.2005.08.025

Surgical Neurology
Volume 65, Issue 1 , Pages 38-41 , January 2006