Superficial temporal artery to middle cerebral artery double bypass via a small craniotomy: technical note.

Superficial temporal artery to middle cerebral artery double bypass via a small craniotomy: technical note.

Neurol Med Chir (Tokyo). 2010;50(10):956-9

Authors: Yoshimura S, Egashira Y, Enomoto Y, Yamada K, Yano H, Iwama T

Frontotemporal craniotomy is usually necessary to perform superficial temporal artery (STA)-middle cerebral artery (MCA) double bypass for cerebrovascular occlusive disease. This report describes a less invasive technique of double bypass through a small craniotomy with minimum skin incision. Thirty-four consecutive patients underwent an elective STA-MCA double bypass via a small craniotomy from January 2006 to October 2009. The parietal and frontal branches of the STA were divided through a minimum linear or y-shaped skin incision, and these branches were anastomosed to the supra- and infrasylvian portions of the MCA. No periprocedural complication such as subdural hematoma or cutaneous necrosis occurred. Postoperative cerebral angiography within 6 months showed that the bypasses were patent in all 34 patients. Double STA-MCA bypass via a small craniotomy might be less invasive, especially for patients at high risk for postoperative hemorrhagic complication or cutaneous necrosis.

PMID: 21030817 [PubMed - in process]

Scrotal Hematoma Complications | Living with Scrotal Hematoma


Living With A Testicular Hematoma

Hi 6 months ago I was hit in the testicles by a soccer ball and formed a tennis ball size scrotal hematoma. because there was no circulation blockage to the testicles the doctor told me I should let it heal on its own. He also told me it could take 4-6 months to heal.

Well it has been 6 months and for the past 2 months the hematoma is now the size of a golf ball and I have seen no progress of the testicle getting smaller.  Is it possible I require a surgical removal? or some other form of treatment? Can somebody offer me some advice?

Check out this picture of a scrotal Hematoma.  Now that is a doozy.

Close-up Photo of Scrotal Hematoma
Close-up Photo of Scrotal Hematoma
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