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Hi guys..

We are fortunate to have received another reply to our " Ask the Dr's "

questions..

This is from Neurosurgical Trainee

Miseo Nishikawa, M.D., Japan .. he is affiliated with TCI in NY.

http://www.northshorelij.com/body.cfm?ID=6411

As always...thanks soooooooooooooooo much to the Dr. for taking the time to

share his expertise with our list members..

Sally R... Decompression '91, Hydro, VP shunt, 2 shunt revisions, Feeling pretty

good on NO meds in Bethlehem,Pa

Dear Sally

The " Minimally- invasive surgery " is trend in neurosurgical field, now. I

think that the " Minimally- invasive surgery " is necessary and minimum surgery.

So far in the present, we don't have the quantitative indicator to decide what

is necessary and minimum for CCI patients. We have been challenging to have the

" Minimumlly-invasive surgery " in each case, using color dopplar ultrasonography

during operation and morphometric analysis before surgery. " Minimumlly-invasive

surgery " must have same results and success rate as conventional surgery, being

minimal invasion to the patient. We believe that our surgery has been getting

better and in near fututre we will report those results.

Thank you for consideration.

from Misao Nishikawa in TCI Long Island NY

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