gms | German Medical Science

63rd Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Japanese Neurosurgical Society (JNS)

German Society of Neurosurgery (DGNC)

13 - 16 June 2012, Leipzig

Efficient endoscopic evacuation method for hypertensive intracerebral haematoma

Meeting Abstract

  • K. Kato - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan
  • K. Fujii - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan
  • H. Tajima - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan
  • M. Nagakura - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan
  • T. Oshima - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan
  • T. Nishizawa - Department of Neurosuregery, Kariya Toyota General Hospital, Kariya, Japan

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS). Leipzig, 13.-16.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP 107

DOI: 10.3205/12dgnc493, URN: urn:nbn:de:0183-12dgnc4933

Published: June 4, 2012

© 2012 Kato et al.
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Outline

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Objective: We described our efficient endoscopic evacuation method for hypertensive intracerebral hematoma (HICH).

Methods: The endoscopic procedures were basically performed under generalized anesthesia. The position of the burr hole was determined by the image guidance of the magnetic neuro-navigation system (Medtronic Inc). A rigid rod endoscope was fixed with Endoarm (Olympus. Co. Ltd) which could easily held the endoscope at any suitable position and any angle. Then the endoscope and the suction device with irrigation channel were introduced through a transparent sheath into the hematoma cavity. Twenty three HICH, including 14 putaminal, 6 subcortical, and 3 cerebellar hematoma were evacuated under the endoscope.

Results: In all cases, arterial bleedings encountered during the evacuation were well controlled with monopolar coagulation through suction device. Repeated irrigation and suction technique was useful to see the hematoma under the evacuation. The haematoma evacuation ratio was more than 90%.

Conclusions: Our endoscopic evacuation method using Endoarm and the suction device with irrigation channel is efficient and safe procedure for HICH.