Aborting a neurosurgical procedure: analyzing the decision factors, with endoscopic third ventriculostomy as a model

Jonathan Roth*, Shlomi Constantini

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Aborting a neurosurgical procedure is a situation in which the surgeon modifies the original surgical plan and decides to stop a procedure without achieving the pre-operative goal. While adhering to predefined goals is important, intra-operative judgment, especially in terms of adjusting the risk/benefit ratio in response to real-time data, may change the balance and lead, in selective scenarios, to aborting of a procedure. The literature regarding aborting a surgical procedure is sparse, with no objective guidelines on when, and how, to make such a decision. Defining “when to abort” is difficult and is influenced by many factors, including unexpected intraoperative findings, the surgeon’s surgical experience and perspective, and the patient and family perspective. Aborting a procedure is a decision that must be ultimately determined by the surgical findings and the individual treatment alternatives. The aim of this paper is to discuss the condition of aborting a neurosurgical procedure, using the relatively common endoscopic third ventriculostomy (ETV) as a model procedure prototype.

Original languageEnglish
Pages (from-to)919-924
Number of pages6
JournalChild's Nervous System
Volume36
Issue number5
DOIs
StatePublished - 1 May 2020

Keywords

  • Aborting surgery
  • Endoscopic third ventriculostomy
  • Hydrocephalus
  • Patient safety
  • Shunt
  • Surgical judgment

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