Neuroendoscope-assisted evacuation of large intracerebral hematomas: introduction of a new, minimally invasive technique. Preliminary report.

Object: The aim of this study was to describe a new, minimally invasive technique for the endoscopic evacuation of intracerebral hematomas (ICHs) and the clinical and radiological outcomes in patients who underwent the procedure. The authors used a multifunctional three-in-one endoscopic instrument that combines a 0 degrees, 4-mm rigid telescope, an irrigation cannula, and a cautery electrode.

Methods: In 13 patients a small keyhole craniotomy was made through noneloquent cortex to gain access to the hematoma.

A multifunctional, modified rigid neuroendoscopic system: clinical experience with 83 procedures. Technical note.

The authors combined a monopolar electrode and a suction/irrigation channel with a 0 degrees, 4-mm Hopkins rigid telescope into a single multifunctional unit. This three-in-one instrument is inserted through a lightweight 7.5-mm outer sheath, which is fixed separately.