Background We investigated the role of a self-retaining retractor system, commonly used in ear, abdominal, vascular, urologic and gynecologic surgeries: the Lone Star retractor system. We report our experience in using the Lone Star retractor in different brain surgeries, at a single neurosurgical department. Methods In 2019, patients who underwent brain surgery and in which the Lone Star Retractor System was used were considered for inclusion. Clinical and surgical data of included patients were prospectively collected. Postoperative VAS for local pain, and a properly designed intraoperative retractor stability score, were collected. Results Over 2019, the Lone Stare Retractor was used in 20 neurosurgical procedures: 9 high-grade glioma, 2 low-grade glioma, 4 cerebral metastases, and 5 meningiomas. Postoperative mean VAS score was 3.5 (range: 2–4). Intraoperative retractor stability score mean was 2 in frontal, 2 in pterional, 1.75 in subtemporal, 2 in interhemispheric, and 0.5 in suboccipital approaches. The Stony Brook Scar Evaluation Scale mean value was 4.4 (range: 3–5). Conclusions In our institutional experience, the Lone Star retractor showed many advantages in different brain procedures, when compared with standard fishhooks and other retractors.

The lone star retractor system in neurosurgery / Piazza, Amedeo; Ricciardi, Luca; Trungu, Sokol; Forcato, Stefano; di Bartolomeo, Alessandro; Scerrati, Alba; Miscusi, Massimo; Raco, Antonino. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - 153:(2021), pp. 36-40. [10.1016/j.wneu.2021.06.097]

The lone star retractor system in neurosurgery

Piazza, Amedeo
Primo
;
Ricciardi, Luca
Secondo
;
Trungu, Sokol;Forcato, Stefano;di Bartolomeo, Alessandro;Miscusi, Massimo
Penultimo
;
Raco, Antonino
Ultimo
2021

Abstract

Background We investigated the role of a self-retaining retractor system, commonly used in ear, abdominal, vascular, urologic and gynecologic surgeries: the Lone Star retractor system. We report our experience in using the Lone Star retractor in different brain surgeries, at a single neurosurgical department. Methods In 2019, patients who underwent brain surgery and in which the Lone Star Retractor System was used were considered for inclusion. Clinical and surgical data of included patients were prospectively collected. Postoperative VAS for local pain, and a properly designed intraoperative retractor stability score, were collected. Results Over 2019, the Lone Stare Retractor was used in 20 neurosurgical procedures: 9 high-grade glioma, 2 low-grade glioma, 4 cerebral metastases, and 5 meningiomas. Postoperative mean VAS score was 3.5 (range: 2–4). Intraoperative retractor stability score mean was 2 in frontal, 2 in pterional, 1.75 in subtemporal, 2 in interhemispheric, and 0.5 in suboccipital approaches. The Stony Brook Scar Evaluation Scale mean value was 4.4 (range: 3–5). Conclusions In our institutional experience, the Lone Star retractor showed many advantages in different brain procedures, when compared with standard fishhooks and other retractors.
2021
neurosurgical retractor; lone star system retractor; neurosurgery; microsurgery
01 Pubblicazione su rivista::01a Articolo in rivista
The lone star retractor system in neurosurgery / Piazza, Amedeo; Ricciardi, Luca; Trungu, Sokol; Forcato, Stefano; di Bartolomeo, Alessandro; Scerrati, Alba; Miscusi, Massimo; Raco, Antonino. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - 153:(2021), pp. 36-40. [10.1016/j.wneu.2021.06.097]
File allegati a questo prodotto
File Dimensione Formato  
Piazza_The-lone_2021.pdf

solo gestori archivio

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 1.36 MB
Formato Adobe PDF
1.36 MB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1600041
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 0
social impact