New York Magazine
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A surgical instrument tray. The tools laid out horizontally in the center of the tray are brain dissectors; the thick-handled instrument up by the sponges is for scraping bone.
Photo: Pari Dukovic
The incision outline behind the patient’s right ear.
Photo: Pari Dukovic
Specialized instruments for use under the microscope.
Photo: Pari Dukovic
After the incision has been made, a retractor (which looks like a large tuning fork) holds the scalp and muscle back while a bipolar coagulation device (the wired device in the rightmost hand) is used to close off blood vessels.
Photo: Pari Dukovic
Dr. Gutin lathering his hands before entering the operating room, where the brain has already been uncovered.
Photo: Pari Dukovic
Dr. Gutin, mid-surgery, gazing at a computer guiding system, which shows the contours of the patient’s brain.
Photo: Pari Dukovic
The image on the screen shows a brain retractor (big, flat, and black) pulling back the cerebellum, as well as an ultrasonic aspirator (with a whitish tip, which vibrates to scramble the tumor before suctioning it up). “It’s like a tumor vacuum cleaner,” Dr. Gutin says.
Photo: Pari Dukovic
The surgeon, wielding an instrument.
Photo: Pari Dukovic
Dr. Gutin assisting ear surgeon Dr. Samuel Selesnick, a partner in the operation, who is seated at the microscope.
Photo: Pari Dukovic
A scrub nurse, passing an instrument.
Photo: Pari Dukovic
Dr. Gutin sitting at the robotic-armed microscope, with Dr. Selesnick assisting.
Photo: Pari Dukovic
Dr. Gutin at the microscope.
Photo: Pari Dukovic
The surgeons at work. The windmill-like device on the right is actually a navigation system of sorts, and allows the doctors to know exactly where they are on the MRI scan, which was taken the day before. “It’s almost like a GPS device,” Dr. Gutin says.
Photo: Pari Dukovic
The patient’s wife embraces Dr. Gutin after the surgery.
Photo: Pari Dukovic
Photo: Pari Dukovic
Photo: Pari Dukovic
Photo: Pari Dukovic
Photo: Pari Dukovic
Photo: Pari Dukovic