BACKGROUND: Intraoperative hemorrhage is a critical issue in the endoscopic evacuation of intracerebral hemorrhage (ICH). Refined and dedicated endoscopic instruments for hemostasis are required. In this technical report, a hemostatic procedure using a monoshaft bipolar cautery is described. TECHNIQUE AND INSTRUMENTATION: The endoscope and monoshaft bipolar cautery are combined into a single-handed instrument, leaving the surgeon's other hand free to manipulate a suction cannula, and so a bimanual hemostatic device system - a combination of a monoshaft bipolar cautery and a multifunctional suction cannula - is obtained. RESULTS: Hemostasis was possible with the monoshaft bipolar cautery during endoscopic hematoma evacuation procedures. No intraoperative complications during hemostasis were apparent, nor were any apparent postoperative complications suggestive of inadvertent tissue damage. CONCLUSIONS: The present report describes the successful use of a monoshaft bipolar cautery and its application in a bimanual hemostatic device system.
BACKGROUND:Intraoperative hemorrhage is a critical issue in the endoscopic evacuation of intracerebral hemorrhage (ICH). Refined and dedicated endoscopic instruments for hemostasis are required. In this technical report, a hemostatic procedure using a monoshaft bipolar cautery is described. TECHNIQUE AND INSTRUMENTATION: The endoscope and monoshaft bipolar cautery are combined into a single-handed instrument, leaving the surgeon's other hand free to manipulate a suction cannula, and so a bimanual hemostatic device system - a combination of a monoshaft bipolar cautery and a multifunctional suction cannula - is obtained. RESULTS: Hemostasis was possible with the monoshaft bipolar cautery during endoscopic hematoma evacuation procedures. No intraoperative complications during hemostasis were apparent, nor were any apparent postoperative complications suggestive of inadvertent tissue damage. CONCLUSIONS: The present report describes the successful use of a monoshaft bipolar cautery and its application in a bimanual hemostatic device system.
Authors: Eliza H Hersh; Yakov Gologorsky; Alex G Chartrain; J Mocco; Christopher P Kellner Journal: Curr Neurol Neurosci Rep Date: 2018-05-09 Impact factor: 5.081
Authors: Robert J Rothrock; Alexander G Chartrain; Jacopo Scaggiante; Jonathan Pan; Rui Song; Danny Hom; Adam C Lieber; Joshua B Bederson; J Mocco; Christopher P Kellner Journal: Oper Neurosurg (Hagerstown) Date: 2020-12-15 Impact factor: 2.703