A novel monoshaft bipolar cautery for use in endoscopic intracranial surgery. A short technical note

作者：Nagasaka Toru^*; Tsugeno Masanori; Ikeda Hiroshi; Okamoto Takeshi; Inao Suguru; Wakabayashi Toshihiko

来源：Clinical Neurology and Neurosurgery, 2011, 113(8): 607-611.

DOI：10.1016/j.clineuro.2011.03.018

• Bimanual hemostasis
• Intracerebral hemorrhage
• Minimally invasive surgery
• Monoshaft bipolar cautery
• Neuroendoscopy
• Single-handed method

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.

• 出版日期2011-10