Editor Choice: The Small-Chamber Irrigation Technique

Screen Shot 2014-09-02 at 7.53.22 AMBackground: 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.

From: The Small-Chamber Irrigation Technique (SCIT): A Simple Maneuver for Managing Intraoperative Hemorrhage During Endoscopic Intraventricular Surgery by Manwaring et al.

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