Who is gazi yaşargil

One actually needed to count the vessels entering a malformation or aneurysm, and to note the borders of the vessels, so one could recognize them during surgery. The vessels thus identified were often small and their exploration might lead to disruption and bleeding. New methodology, however, was developing that held some promise. The technique ofmicrosurgery allowed the surgeon to see, by using a dissecting microscope, the lesion in magnified form.

The surgery of such fine structures was being studied in the United States, and Gazi was interested. After conveying his interest to Dr. Yasargil to join the research staff, where he worked from October 25, to January 4, Gazi entered the work wholeheartedly, beginning on the fundamentals, as he wished to miss nothing. In 6 weeks, he finished the exercises customarily performed by a student in 3 months, and was ready for that for which he had come--experience in the handling of the living, functional cortical vessels.

This included the direct opening, closing, patching, and surface grafting of the cortical vessels. In essence, Gazi repeated the whole extensive experience that had first been tried on extremities and intraabdominal vessels. However, the vessels Gazi worked with were only 0. This remarkable surgeon did not complain about working on the simple problems or that he was ready for the complex.

Instead, he studied the available literature and only when he had mastered that knowledge did he plan the research beyond that point.

Thus, Gazi gradually decreased the problems to be studied. After just improving the technique of coagulating the small cortical branches that had to be sacrificed, he worked hard and long on preserving every salvageable branch. A method was sought to allow a vessel superficial temporal complex to be grafted into the cortical branch middle cerebral complex of the brain. A study of grafts, patch grafts, and replacement grafts had previously been performed with unacceptable failure rates.

Gazi conceived of the idea of using the superficial temporal artery as a direct connection into a middle cerebral branch that did not entail the removal of a segment of the superficial temporal artery, and hence did not require a double suture line. The superficial temporal vessel was simply sectioned far enough out to allow it to be sutured to the middle cerebral branch by a single end-to-side anastomosis.

This technique provided a greatly improved patency rate and the results were reported in Neurosurgeons are familiar with these techniques and with the recent Bypass Study. Under the rules of the study, the procedure was shown not to be helpful in altering mortality and morbidity rates. To give meaning to our data, a study of the physics and physiology of the nervous system blood supply should now be planned.

Perhaps Gazi's greatest contribution to neurosurgery has been his deep and thoughtful study of the subarachnoid spaces. We have all known that careful intracranial operations have low mortality and morbidity rates, provided the brain and its vessels are not injured.

What Gazi has done is to demonstrate that many, if not most, intracranial procedures can be done in the subarachnoid space with an intact pia and arachnoid. The problem is that the depths of the wound are sometimes great, the light is poor, and one cannot always be certain where the arachnoid leaves off and the vascular surface remains. Great familiarity with the tissue is needed, and having been there, 10, 20, or times before, is of great importance.

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European Court of Human Rights. Over the next 20 years, he carried out laboratory work and clinical applications of micro techniques, performing intracranial operations in Zurich until his retirement in He has helped three generations of neurosurgeons, defining what is possible in neurosurgery, and then demonstrating how to achieve it.

In the micro-neurosurgical anatomical laboratory in Zurich he trained around colleagues from all continents and representing all surgical specialties. He participated in several hundred national and international neurosurgical congresses, symposia, and courses as an invited guest. The six-volume publication Microneurosurgery , Georg Thieme Verlag Stuttgart-New York is the comprehensive review of his broad experiences and a major contribution to the neurosurgery literature. Categories: Turkish medical researchers Neurosurgeons.

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