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Neurosurgery. 2014 Sep;10 Suppl 3:375-9; discussion 379. doi: 10.1227/NEU.0000000000000406.

The small-chamber irrigation technique (SCIT): a simple maneuver for managing intraoperative hemorrhage during endoscopic intraventricular surgery.

Author information

1
*Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida; ‡Department of Neurosurgery, Cairo University, Cairo, Egypt; §Department of Neurosurgery, University Medicine, Greifswald, Germany.

Abstract

BACKGROUND:

Acute intraoperative intraventricular hemorrhage is a feared event in endoscopic neurosurgical procedures.

OBJECTIVE:

To describe the small-chamber irrigation technique (SCIT) for intraoperative endoscopic management of intraventricular hemorrhage.

METHODS:

The SCIT was used in intraventricular surgery for hydrocephalus, intraventricular tumors requiring biopsy, arachnoid cysts, and colloid cysts.

RESULTS:

Intraventricular hemorrhage was successfully managed endoscopically with a combination of the SCIT, routine irrigation, and coagulation, allowing for completion of the primary procedures.

CONCLUSION:

The SCIT is a powerful tool that the neuroendoscopist can use for visualization to achieve hemostasis when performing intraventricular endoscopic surgery.

PMID:
24867199
DOI:
10.1227/NEU.0000000000000406
[Indexed for MEDLINE]

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