The role of intraoperative ultrasound in gross total resection of brain mass lesions and outcome

Abstract

Background: Surgical resection of brain mass lesion mandates safety and the best outcome for the patient. Objectives: The aim of this study was the evaluation of intraoperative ultrasound (IOUS) in gross total resection of brain mass lesions and patients’ safety in comparison to conventional surgery. Materials and methods: In total, 632 patients were operated for brain mass lesion resection at Neurosurgery Department, Zagazig University Hospitals, during the period from January 2011 to October 2018 and divided randomly into two groups, IOUS group and conventional group, for the detection value of IOUS in resection, safety, and outcome after 3 months follow-up. Results: The IOUS group showed statistically significant gross total resection regardless to pathology, location, size, age, and sex in favor of IOUS use, and also, there were significantly less complications and better outcome after 3 months follow-up with the IOUS group. Significantly better outcome was found with gross total resection in total surgeries. Conclusions: The use of IOUS during brain mass lesion surgery is safe and can assist the surgeon in gross total resection with better outcome.