• Neurosurgery · Sep 2014

    The small-chamber irrigation technique (SCIT): a simple maneuver for managing intraoperative hemorrhage during endoscopic intraventricular surgery.

    • Jotham C Manwaring, Ahmed El Damaty, Jörg Baldauf, and Henry W S Schroeder.
    • *Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida; ‡Department of Neurosurgery, Cairo University, Cairo, Egypt; §Department of Neurosurgery, University Medicine, Greifswald, Germany.
    • Neurosurgery. 2014 Sep 1;10 Suppl 3:375-9; discussion 379.

    BackgroundAcute intraoperative intraventricular hemorrhage is a feared event in endoscopic neurosurgical procedures.ObjectiveTo describe the small-chamber irrigation technique (SCIT) for intraoperative endoscopic management of intraventricular hemorrhage.MethodsThe SCIT was used in intraventricular surgery for hydrocephalus, intraventricular tumors requiring biopsy, arachnoid cysts, and colloid cysts.ResultsIntraventricular hemorrhage was successfully managed endoscopically with a combination of the SCIT, routine irrigation, and coagulation, allowing for completion of the primary procedures.ConclusionThe SCIT is a powerful tool that the neuroendoscopist can use for visualization to achieve hemostasis when performing intraventricular endoscopic surgery.

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