Prevention of blood staining of endoscope tip during functional endoscopic sinus surgery: sleeve technique

Abstract

Optimisation of the endoscopic view during FESS may require correction of a deviated septum. The resulting incision leads to bleeding which could obscure the view of the endoscope. Repeated cleaning of the endoscope intraoperatively is time consuming and traumatisation of the lining of the nasal mucosa may lead to formation of adhesions post operatively. We discuss the use a segment of suction tubing that can act as a conduit or sleeve for the passage of the endoscope into the nasal cavity. This protects the endoscope tip from the bleeding area.

Biocompatible Slippery Fluid-Infused Films Composed of Chitosan and Alginate via Layer-by-Layer Self-Assembly and Their Antithrombogenicity

“…Although endoscopic surgery is enabled by visualization through the endoscope lens, low visibility of the image caused by blood staining on its surfaces remains a large problem . The endoscope must be cleaned several times during each operation to remove blood and biological fluids from the endoscopic lens, which has the potential to increase the risk of blood clots and cause foreign material interfusion by the blood solidifying on the surface. , These complications increase surgical time, patient costs, and hospital medical expenses, among other problems. Additional medical devices such as stents also require antifouling surfaces.…”

Comprehensive review on endonasal endoscopic sinus surgery

“…The problem of soiling of the tip of the endoscope is technically met, for example by mounted cleaning systems (Endoscrub ® , Clear vision ® , sleeve technique, K-endosheath [ 520 ], [ 521 ]). The advantages of cleaning the device in situ must be weighed out against the limitations: success rate of cleaning <100%, meanwhile necessary cleaning of the rinsing system, purchase and non-recurring costs, increased set-up time, increased thickness of the endoscope with possibly reduced flexibility.…”

Slippery quartz surfaces for anti‐fouling optical windows

“…Endoscopes have become a crucial instrument for the internal inspection of the human body, such as duodenoscopy, laparoscopy, and colonoscopy 1–3 . However, fog and blood on the optical windows of these devices can degrade the accuracy of the monitoring data, and it can also make the picture blurred for the covering of the fouling 4–6 . In addition, microbial colonization formation on the surface of the endoscope is another factor that needs to be considered for surgery safety 7–9 .…”

“…[1][2][3] However, fog and blood on the optical windows of these devices can degrade the accuracy of the monitoring data, and it can also make the picture blurred for the covering of the fouling. [4][5][6] In addition, microbial colonization formation on the surface of the endoscope is another factor that needs to be considered for surgery safety. [7][8][9] Therefore, the development of strategies for fouling control of optical instruments is urgently required.…”