Novel Cost-Effective Tubular Port Based on Glove and Syringe for Endoscopic Surgery of Intracerebral Hematomas
| Autor: | Chen Wei, Liu Yongliang, Li Zhenzhu, Xu Ruiyu, Ding Jinke, Li Jianmin, Gao Wenbo, Du Hongpeng, Wang Henglu, Li Zefu, Meng Li, Shao Wei, Liu Pengfei |
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| Rok vydání: | 2020 |
| Předmět: |
Male
China medicine.medical_specialty Cost-Benefit Analysis Common disease Endoscopic surgery 03 medical and health sciences 0302 clinical medicine Hematoma Cerebellar Diseases medicine Humans Gloves Surgical cardiovascular diseases Developing Countries Syringe Aged Cerebral Hemorrhage business.industry Syringes Bipolar electrocoagulation Basal Ganglia Hemorrhage Middle Aged medicine.disease Port (computer networking) Surgery 030220 oncology & carcinogenesis Neuroendoscopy Cerebellar hemorrhage Drainage Female Neurology (clinical) Postsurgical complications business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 135:367-374.e1 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2019.11.097 |
| Popis: | Background Intracerebral hematomas (ICH) is a common disease in the developing countries, and minimally invasive transportal resection of ICH is a widely accepted surgical technique. Many port systems are available, but most are disposable and expensive. We present a safe and cost-effective glove-syringe substitute for endoscopic hematoma evacuation, suitable for developing countries such as China. Methods A port substitute of different sizes and lengths was constructed using sterile gloves and syringes, commonly found in a surgical environment. Results We successfully performed endoscopic hematoma removal in 7 patients including 1 cerebellar hemorrhage case and the remaining 6 supratentorial basal ganglia cases (1 patient taking oral aspirin). Bipolar electrocoagulation was used to control bleeding from the ruptured blood vessels. There were no postsurgical complications. Conclusions The glove-syringe port is a convenient, safe, and cost-effective tubular port system for endoscopic surgery of ICH. Such ports can be used as substitutes when commercial sleeves are unavailable, especially in rural areas and developing countries. |
| Databáze: | OpenAIRE |
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