NEUROENDOSCOPY AND SKULL BASE SURGERY

Advanced Neuroendoscopy & Skull Base Surgery
The 3rd Neural Integrity Surgical Skill Lab (NISSL-3) was an intensive, three-day hands-on cadaveric dissection workshop designed specifically for neurosurgeons and senior surgical residents. Jointly organized by the Department of Anatomy and NISSL, this edition focused on mastering minimally invasive endoscopic techniques and complex skull base approaches using high-fidelity human specimens.

Conducted from January 25 to January 27, 2025, the workshop brought together 20 delegate neurosurgeons for rigorous practical training. The curriculum bridged microscopic anatomical precision with real-time endoscopic instrumentation, empowering delegates to perform intricate surgical corridors while prioritizing preservation of critical neurovascular structures.

Key Workshop Highlights & Objectives
Each surgical workstation was outfitted with state-of-the-art neuroendoscopy towers, high-speed drills, and specialized micro-instruments. Under the direct supervision of national skull base faculty, delegates navigated deep surgical anatomy in a risk-free, highly simulated operative environment.

  • Hands-On Dissection – 1:2 faculty-to-delegate ratio across dedicated surgical stations
  • Transnasal Approaches – Complete modular training from basic sphenoidotomy to expanded sella/clivus
  • Department of Anatomy & NISSL – High-fidelity ethically sourced cadaveric specimens
  • Focused Cohort – Strictly capped at 20 neurosurgeons for comprehensive individual station time
  • Neural Integrity Priority – Real-time guidance on critical cranial nerve and vascular preservation
All cadaveric dissections were performed adhering strictly to ethical guidelines and institutional protocols. The immersive design provided delegates with tactile feedback and spatial orientation indispensable for modern endoscopic skull base procedures.
Structured 3-Day Hands-on Training Modules
The course curriculum was systematically organized across three consecutive days (25/01/2025 – 27/01/2025), balancing didactic case-based discussions, operative video analysis, and extensive wet-lab surgical training.
Day 1 focused on transnasal endoscopic corridors, nasal phase anatomy, and anterior skull base exposure. Day 2 transitioned to expanded transclival approaches, sellar/parasellar pathology, and vascular control. Day 3 concluded with intraventricular neuroendoscopy, third ventriculostomy, and advanced skull base reconstruction using vascularized pedicled flaps.

Modular Schedule Breakdown (Jan 25–27, 2025)

Day 1: Transnasal Anatomy | Day 2: Expanded Skull Base | Day 3: Ventricles & Reconstruction
Endoscopic corridor step-by-step | Transellar & transclival exposure | Endoscopic Third Ventriculostomy (ETV)
Middle turbinate resection & sphenoidotomy | Parasellar dissection & ICA identification | Intraventricular anatomy & tumor biopsy
Pituitary fossa exposure & dura opening | Cavernous sinus & optic canal decompression | Skull base defect repair & Hadad flaps
Faculty demonstration & live feedback | High-speed drilling of clival bone | Multilayered closure & complication management

Comprehensive Dissection Syllabus
Delegates executed structured operative dissections under step-by-step guidance from senior skull base surgeons and clinical anatomists, covering essential minimally invasive cranial corridors.

Comprehensive coverage of sinonasal anatomy, middle turbinectomy, posterior ethmoidectomy, wide sphenoidotomy, sellar floor thinning, dura opening, and pituitary gland manipulation while safeguarding the paraclival and parasellar internal carotid arteries.
Extended endoscopic corridors for olfactory groove meningiomas, craniopharyngiomas, and chordomas. Drill trajectories for the planum sphenoidale, tuberculum sellae, and upper clivus with optic canal unroofing.
Rigid and flexible endoscopy through frontal burr holes: landmark identification inside the lateral and third ventricles (foramen of Monro, choroid plexus, thalamostriate vein), floor fenestration in endoscopic third ventriculostomy (ETV), and cyst/colloid decompression.
Identification and preservation strategies for cranial nerves (CN II, III, IV, V, VI) in the cavernous sinus and orbit. Simulation of accidental vascular injury management and hemostatic tamponade techniques.
Techniques for vascularized nasoseptal flaps (Hadad-Bassagasteguy flap), fascia lata inlay/onlay grafts, synthetic sealants, and balloon buttress support for airtight skull base closures.
Every technique was coupled with clinical anatomy instruction delivered by faculty from the Department of Anatomy, reinforcing relational anatomy from an endoscopic vantage point.
Eligibility & Delegate Prerequisites
Because this was an advanced hands-on surgical training program, admissions were restricted to qualified neurosurgical practitioners and trainees aiming to refine endoscopic proficiency.
To maintain safety and quality standards, all delegates underwent orientation covering wet-lab safety, surgical ergonomics, specimen handling, and the care of high-precision endoscopy optics prior to table dissections.

WORKSHOP FACULTY & ORGANIZERS

COURSE DIRECTOR
COURSE DIRECTORLead Skull Base Faculty
Senior Neurosurgeon leading endonasal skull base dissection modules and live station guidance.
ORGANIZING SECRETARY
ORGANIZING SECRETARYNISSL Coordinator
Spearheading lab logistics, dissection workstations, endoscopic instrumentation, and curriculum delivery.
DEPARTMENT OF ANATOMY
DEPARTMENT OF ANATOMYAnatomical Lead
Ensuring high-grade specimen preparation, preservation, and endoscopic surgical corridor mapping.

NISSL-3: 20 Neurosurgeons Trained • 3 Days of Intensive Dissection

Hands-on cadaver workshop on Neuroendoscopy and Skull Base Surgery organized jointly by the Department of Anatomy and NISSL (25/01/2025 – 27/01/2025).

0
Neurosurgeons Trained
0 Days
Intensive Hands-on Workshop
0%
Hands-On Cadaver Dissection
Go to Top