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Old 03-17-2007, 07:42 PM #1
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shelly shelly is offline
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Join Date: Feb 2007
Location: tulsa, ok
Posts: 71
15 yr Member
shelly shelly is offline
Junior Member
shelly's Avatar
 
Join Date: Feb 2007
Location: tulsa, ok
Posts: 71
15 yr Member
Default mvd post surg notes

made it back from dllas in one tired piece. drove monday morning and drove back tuesday afternoon. the dr was wonderful i got to see most of his staff. and a few residents of the neuro department. asked some usual questions, was i released to drive?-yes after i felt comfotable turning my neck back and forth, and after i end the lortab. i told him since i have pain on my left side to i would need to stay on my lortab. he agreed and said ok i could then drive. he also said to take short walks, but don't get all hot and sweaty just yet. in about another two weeks i should be feeling much better when it comes to being so tired.and i could walk more and do more chores around the house. for now just do a little.
i also asked him if i could read my sugical notes about the mvd. -he gave me a copy out of my chart. it reads as follows:

brought to the or room after succesful introduction of general anesthesia. she was positioned in the mayfield headholder. a linear incision was made. the suboccipital masculature was elevated in subperiosteal fashion and reflected with a self-retaining retractor. using a high-speed drill, a craniectomy was preformed from the transverse sigmoid junction toward the foramen magnum, exposing the underlying dura. this dura was opened in a curvilinear fashion exposing the underlying cerebellum.
The microscope was brought into use. under high-power magnification. , the arachnoid of the cerebellum was divested from the 7-8 complex, facilitating further cerebellar relaxation. cont. microdissection allowed identification of the 5th nerve. a branch of petrosal venous system was seen piercing the nerve between the motor and sensory components. this was electrocoagulated and divided. the superior cerebellar artery was identified and was free from connection to the nerve.
once the nerve was decompressed, additional hemostasis was attained. a piece of merocel was placed on superior aspect of the nerve. the dura was then closed with a 4-0 Nurolon. Methylmethacrylate cranioplasty was prefomed, secured with mini plates and screws. the overlying musculature was closed with 2-0 Vicryl followed by 3-0 Vicryl for subcutaneous and galeal layer and running nylon on the skin.
i wa so happy he gave my the notes. i was verry interested on their techniques.
i feel great considering everything my body has been through. i will write more later.- shelly
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