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--- hybrid_technique [2025/07/18 06:29] – administrador
+++ hybrid_technique [2025/07/18 06:31] (current) – administrador
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 Hybrid technique: A procedure or strategy that integrates components from multiple established methods to achieve improved outcomes, efficiency, or versatility.
-In vascular or cardiac surgery, a hybrid technique might combine open surgical and endovascular (minimally invasive) approaches in the same procedure (e.g., hybrid revascularization for coronary artery disease).
+===== Hybrid Technique in Neurosurgery =====
+**Definition:**
+A *hybrid technique in neurosurgery* refers to the combination of two or more distinct procedural approaches—such as open microsurgical, endoscopic, percutaneous, or endovascular methods—often applied within a single session or in a hybrid operating suite, aiming to maximize therapeutic efficacy while minimizing invasiveness and complications.
+**Key Features:**
+  * Integration of multiple surgical paradigms (e.g., microsurgery + endoscopy).
+  * Often used for complex or multi-compartmental pathologies.
+  * Requires high-level coordination and multidisciplinary planning.
+  * Frequently performed in hybrid operating rooms with real-time imaging.
+**Examples:**
+  * **Cerebral Aneurysms:** Combined microsurgical clipping and endovascular coiling in giant or partially thrombosed aneurysms.
+  * **Skull Base Tumors:** Endoscopic endonasal debulking followed by transcranial resection for extensive lesions.
+  * **Spinal Stabilization:** Anterior discectomy combined with posterior percutaneous screw fixation.
+  * **Arteriovenous Malformations (AVMs):** Preoperative embolization followed by open microsurgical resection.
+  * **Hybrid OR Procedures:** Intraoperative angiography-guided resection of vascular lesions.
+**Clinical Advantages:**
+  * Tailored approach to complex pathology.
+  * Reduced surgical morbidity.
+  * Better visualization and control of critical structures.
+  * Potential for single-stage resolution of multifaceted problems.
+**Considerations:**
+  * Requires advanced infrastructure and imaging tools.
+  * Demands coordination among neurosurgeons, interventional radiologists, and anesthesiologists.
+  * Not universally applicable; patient selection is critical.