2022 Volume 50 Issue 5 Pages 404-407
Endoscopic hematoma evacuation is a widely used procedure for the treatment of hypertensive cerebral hemorrhage that is less invasive. Several points should be considered for performing it safely, and the washing technique is a significant step to keep a clear surgical field. In our hospital, an irrigation tube is connected to a small hole near the end of the transparent sheath, to facilitate the injection of an artificial cerebrospinal fluid using the foot pedal. The endoscope tip and the inside of the sheath are washed as per the operator’s timing, the collapsed hematoma cavity is expanded, and a clear surgical field is maintained. Confirmation of the bleeding point in the wet field is also made possible by perfusion of adequate flow quantity. Here, we present a washing technique using irrigation system operated with a foot pedal for endoscopic hematoma evacuation.
