{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:38:09Z","timestamp":1763746689851,"version":"build-2065373602"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p>\u2713Waterjet dissection enables vessel preservation and a reduction in intraoperative blood loss. Because even minimal bleeding should be avoided during neuroendoscopy, the waterjet device may be a particularly valuable tool in such procedures. The authors used this instrument in experimental endoscopic procedures in 20 cadaveric porcine brains and clinically in four patients with obstructive hydrocephalus. A precise and accurate septostomy was achieved in all of the pig brains. In two patients the hydrocephalus was due to intraventricular hemorrhage, in one a posterior fossa tumor, and in one a cystic craniopharyngioma. In all patients the surgical view was kept clear with waterjet irrigation and suction. Using a pressure setting of 10 bars, the waterjet device successfully perforated the cyst wall of the craniopharyngioma in one patient and the floor of the third ventricle in three patients. The use of the waterjet device in selected endoscopic procedures appears safe, and may help reduce intraoperative bleeding. However, further studies are needed to confirm the utility of the waterjet tool in endoscopy.<\/jats:p>","DOI":"10.3171\/jns.2006.105.6.928","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T12:41:37Z","timestamp":1201178497000},"page":"928-931","source":"Crossref","is-referenced-by-count":31,"title":["The use of waterjet dissection in endoscopic neurosurgery"],"prefix":"10.3171","volume":"105","author":[{"given":"Joachim","family":"Oertel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hannover Nordstadt Hospital, Hannover; Department of Neurosurgery, Hannover Medical School, Hannover; and Department of Neurosurgery, Klinikum Minden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michail","family":"Gen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Nordstadt Hospital, Hannover; Department of Neurosurgery, Hannover Medical School, Hannover; and Department of Neurosurgery, Klinikum Minden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim K.","family":"Krauss","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Nordstadt Hospital, Hannover; Department of Neurosurgery, Hannover Medical School, Hannover; and Department of Neurosurgery, Klinikum Minden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Zumkeller","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Nordstadt Hospital, Hannover; Department of Neurosurgery, Hannover Medical School, Hannover; and Department of Neurosurgery, Klinikum Minden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Gaab","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hannover Nordstadt Hospital, Hannover; Department of Neurosurgery, Hannover Medical School, Hannover; and Department of Neurosurgery, Klinikum Minden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-1050928","series-title":"Endosc Surg Allied Technol","first-page":"189","article-title":"Laparoscopic liver resection in the Large White pig\u2014a comparison between waterjet dissector and ultrasound dissector","volume":"2","year":"1994"},{"key":"b2-1050928","series-title":"Schmidek & Sweet Operative Neurosurgical Techniques. 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