Endoscopic-assisted removal of traumatic brain hemorrhage: case report and technical note

Nascimento, Clarissa Nóbrega Gambarra; Amorim, Robson Luís Oliveira de; Mandel, Maurício; Santo, Marcelo Prudente do Espírito; Paiva, Wellingson Silva; Andrade, Almir Ferreira de; Teixeira, Manoel Jacobsen

doi:10.1093/jscr/rjv132

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Four patients admitted to the emergency department were diagnosed with contusional hematomas and 5 were diagnosed with spontaneous intracerebral hematomas ( Table 2). Both types of hematomas were treated using a neuroendoscopic technique that has already been described by several authors, 12,13,19,25,27,32 with the addition of the smartphone for visualization of the surgical field. Three patients with SDH underwent endoscopic excision through a parietal tangential burr hole.…”

Section: Emergency Neurosurgerymentioning

confidence: 99%

Smartphone-assisted minimally invasive neurosurgery

Mandel

Petito

Tutihashi

et al. 2018

Journal of Neurosurgery

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OBJECTIVE Advances in video and fiber optics since the 1990s have led to the development of several commercially available high-definition neuroendoscopes. This technological improvement, however, has been surpassed by the smartphone revolution. With the increasing integration of smartphone technology into medical care, the introduction of these high-quality computerized communication devices with built-in digital cameras offers new possibilities in neuroendoscopy. The aim of this study was to investigate the usefulness of smartphone-endoscope integration in performing different types of minimally invasive neurosurgery. METHODS The authors present a new surgical tool that integrates a smartphone with an endoscope by use of a specially designed adapter, thus eliminating the need for the video system customarily used for endoscopy. The authors used this novel combined system to perform minimally invasive surgery on patients with various neuropathological disorders, including cavernomas, cerebral aneurysms, hydrocephalus, subdural hematomas, contusional hematomas, and spontaneous intracerebral hematomas. RESULTS The new endoscopic system featuring smartphone-endoscope integration was used by the authors in the minimally invasive surgical treatment of 42 patients. All procedures were successfully performed, and no complications related to the use of the new method were observed. The quality of the images obtained with the smartphone was high enough to provide adequate information to the neurosurgeons, as smartphone cameras can record images in high definition or 4K resolution. Moreover, because the smartphone screen moves along with the endoscope, surgical mobility was enhanced with the use of this method, facilitating more intuitive use. In fact, this increased mobility was identified as the greatest benefit of the use of the smartphone-endoscope system compared with the use of the neuroendoscope with the standard video set. CONCLUSIONS Minimally invasive approaches are the new frontier in neurosurgery, and technological innovation and integration are crucial to ongoing progress in the application of these techniques. The use of smartphones with endoscopes is a safe and efficient new method of performing endoscope-assisted neurosurgery that may increase surgeon mobility and reduce equipment costs.

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Section: Emergency Neurosurgerymentioning

confidence: 99%

Smartphone-assisted minimally invasive neurosurgery

Mandel

Petito

Tutihashi

et al. 2018

Journal of Neurosurgery

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Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature

Tseng

Kuo

Chen

et al. 2022

Journal of the Formosan Medical Association

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Endoscopic Removal of Acute Traumatic Intracerebral Hemorrhage

Годков¹,

Talypov²,

Крылов³

et al. 2022

Neotložnaâ med. pomoŝʹ

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Nowadays surgical treatment of patients with traumatic intracranial hematoma (TICH) and injuries of the brain is a very actual problem in neurosurgery.The purpose of this work was to assess of the feasibility and safety of minimally invasive endoscopic removal of TICH.MATERIAL AND METHODS In the period of 2010–2019, 2734 operations were performed on patients with traumatic brain injury in the Sklifosovsky Research Institute. There were 334 patients with TICH and the CC/BC foci, that made 12.2% of all patients. The median of hematoma volume, that did not cause a loss of consciousness was 48 cm2, and in most of the patients the hematoma volume ranged 30–35 cm2. Local fibrinolysis of TICH was performed in 14 patients with the hematoma volume of 30–50 cm2 without brain dislocation and not causing the consciousness depression more severe than sopor.Endoscopic removal of TICH was performed in 4 men at mean age of 54.8 years within 18–36 hours after trauma. Three patients had depression of consciousness to obtundation (14 by Glasgow Outcome Scale (GCS)), and one patient was in clear consciousness. The volume of the dense part of the contusion foci in the pole-basal regions of the frontal and temporal lobes was 24–40 cm3.RESULTS Among patients with TICH operated on by using the traditional technique, postoperative lethality was 13%, good outcomes were seen in 41%, and 46% had neurological disorders of varying severity. While treating the patients with TICH by using the local fibrinolysis method, 1 patient died after surgery, a good outcome was seen in 8 of 14 patients, and neurological disorders persisted in 3 patients in the postoperative period.Radicality of surgery in patients operated on by using endoscopic technique averaged 76% ranging from 41% to 91%. There were no complications during surgery nor in post-operative period. Patients were discharged from hospital after 8-21 days.

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Endoscopic-assisted removal of traumatic brain hemorrhage: case report and technical note

Cited by 3 publications

References 9 publications

Smartphone-assisted minimally invasive neurosurgery

Smartphone-assisted minimally invasive neurosurgery

Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature

Endoscopic Removal of Acute Traumatic Intracerebral Hemorrhage

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