Evacuation of intracerebral hemorrhages by neuroendoscopy with transparent sheath. Experimental study
| Autor: | María José Sánchez-Ledesma, Maria Ángeles Pérez De La Cruz, Alvaro Otero-Rodríguez, Maria Cristina Munoz-Martin, Jesus Maria Gonçalves-Estella |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage medicine.medical_treatment lcsh:Surgery lcsh:RC346-429 Hematoma Blunt medicine cardiovascular diseases Craniotomy lcsh:Neurology. Diseases of the nervous system Intracerebral hemorrhage Transparent sheath medicine.diagnostic_test Experimental model business.industry lcsh:RD1-811 medicine.disease Surgery Endoscopy Neuroendoscopy Neurology (clinical) business |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 2, Iss 1, Pp 40-47 (2015) |
| ISSN: | 2214-7519 |
| DOI: | 10.1016/j.inat.2014.12.004 |
| Popis: | Objectives: Endoscopic evacuation of intracerebral hemorrhage (ICH) has been developed in order to reduce the tissue injury that conventional craniotomy could generate. Experimental studies are important to assess the effectiveness of the technique and its modifications. The objectives of this study are to develop in pig an experimental model of endoscopic evacuation of ICHs, to assess effectiveness of surgical evacuation, and to evaluate a new transparent sheath as complement to the endoscopy. Methods: Autologous blood was infused into the frontal lobe white matter in 16 pigs. In the problem group, endoscopic evacuation was performed with the aid of a new transparent sheath, which has outer and inner sheaths with blunt and closed finals. Pigs were sacrificed at 4 h, 24 h and 5 days. The volumes of hematoma and histopathological features were determined. Results: Residual volume of the problem group was significantly 70.09% lower than in control group, without significant differences in injected volumes, in percentage of subarachnoid hemorrhage, and in time interval from hematoma induction to pig´s death. The vital reaction after hemorrhage was similar in both groups. Conclusions: The experimental model developed is useful to assess endoscopic evacuation of ICHs. The endoscopy is an effective technique in the treatment of ICHs, without increasing the vital reaction secondary to hematoma. The new transparent sheath increases the visualization of surgical field and allows a continuous visual control since the beginning of the procedure. Its closed final prevents unwanted injury of the brain by the instruments used to remove the hematoma. |
| Databáze: | OpenAIRE |
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