Management of severe intraoperative hemorrhage during intraventricular neuroendoscopic procedures: the dry field technique

Oertel, Joachim; Linsler, Stefan; Strohm, Lea; Senger, Sebastian

doi:10.1007/s00701-022-05207-9

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…Based on intraventricular vision, some researches presented grading system and a step by step guide for the endoscopic management of intraoperative hemorrhages during intraventricular tumor surgery 31,32 .…”

Section: Present Studymentioning

confidence: 99%

Endoscopic Evacuation of Supratentorial Hematoma: a Hemostatic Strategy for Surgeons

lan,

yang,

et al. 2024

Preprint

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Endoscopic hematoma evacuation has become well received for its high evacuation rate in patients with intracerebral hematoma. Effective hemostatic procedure is the key to the success of the procedure. Any single method cannot solve all kinds of intraoperative bleeding. The key to hemostasis is to identify the type of bleeding and take the best hemostasis method during endoscopic surgery. In our study, sixty-two intracerebral hemorrhage patients who underwent endoscopic hematoma evacuations were analyzed. Intraoperative bleeding was graded as Grades 0, 1, 2 and 3 based on characteristics of bleeding. A hemostatic strategy was created from the grading system. The efficiency was evaluated by operation time, evacuation rate, and re-bleeding rate after surgery. Procedure safety was evaluated by mortality rate and postoperative complications. We found that endoscopic removal of putamen hematoma was more prone to intraoperative bleeding (p = 0.00). Active bleeding occurred in early operative stage and errhysis happen in later stage (p = 0.00). Average evacuation rate was 95.61% and the mortality rate was 3.23%. The mean Glasgow outcome scale (GOS) score at 6-month follow-up was 3.77 ± 1.12. No patient experienced postoperative re-bleeding. These findings indicated that most patients will experience different degrees of intraoperative bleeding during endoscopic hematoma evacuation. A hemostatic strategy based on intraoperative bleeding grade resulted in efficiency and safety.

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Section: Present Studymentioning

confidence: 99%

Endoscopic Evacuation of Supratentorial Hematoma: a Hemostatic Strategy for Surgeons

lan,

yang,

et al. 2024

Preprint

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Evaluation of training models for intraventricular neuroendoscopy

Senger,

Lepshokov,

Tschernig

et al. 2024

Neurosurg Rev

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Structured surgical education has become increasingly important in recent years. Intraventricular neuroendoscopic procedures have been widely established. However, training surgical skills with these techniques is crucial for young residents due to the potential harm to adjacent tissue. Therefore, we evaluated two different training models. Participants in two different international workshops were trained on a prefixed cadaver model and on a living murine intraabdominal model. Crucial neuroendoscopic techniques such as membrane perforation and tissue biopsy were performed. A blinded questionnaire evaluated both models. Sixty-three participants were trained on the animal model. Forty of these were trained on the cadaver model. The training effect was evaluated almost equally, with 8.5/10 for the animal model and 8.9/10 for the cadaver model. The tissue properties were rated higher regarding realism in the animal model, whereas the anatomic realism was rated higher in the cadaver model. The animal model is a valid alternative to cadaver models for teaching endoscopic neurosurgical skills. This model benefits from the simulation of real surgical tissue properties, including bleeding. The low costs and availability of this technique make it more ubiquitous and can help train further generations of neurosurgeons.

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Concomitant, Single Burr Hole Endoscopic Third Ventriculostomy and Tumor Biopsy for Pineal Lesions: Feasibility, Safety, and Benefits

et al. 2023

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Management of severe intraoperative hemorrhage during intraventricular neuroendoscopic procedures: the dry field technique

Cited by 5 publications

References 10 publications

Endoscopic Evacuation of Supratentorial Hematoma: a Hemostatic Strategy for Surgeons

Endoscopic Evacuation of Supratentorial Hematoma: a Hemostatic Strategy for Surgeons

Evaluation of training models for intraventricular neuroendoscopy

Concomitant, Single Burr Hole Endoscopic Third Ventriculostomy and Tumor Biopsy for Pineal Lesions: Feasibility, Safety, and Benefits

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