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Child's Nervous System

, Volume 34, Issue 3, pp 541–545 | Cite as

Dry-field maneuver for controlling the massive intraventricular bleeding during neuroendoscopic procedures

  • Tuncer TurhanEmail author
Original Paper

Abstract

Purpose

Massive hemorrhages pose a significant problem in intraventricular endoscopic surgeries. These hemorrhages have the potential to cause mortality and morbidity, particularly in excisional surgeries. Often, the bleeding can be controlled only by cauterization and liquid irrigation, due to the incongruity of the use of antihemorrhagic agents in the fluid. The final option to stop the massive bleeding is the dry-field maneuver. In this study, the effects and clinical results of the dry-field maneuver in bleeding control of a massive bleeding were investigated.

Methods

Dry-field maneuver was retrospectively studied in a patient population that had massive bleeding during intraventricular endoscopic procedures.

Results

Dry-field maneuver was used in seven patients. Four of these patients underwent some excisional surgery. The other two patients were operated for an endoscopic third ventriculostomy and one for intraventricular hemorrhage evacuation. It was observed that the hemorrhage in patients stopped rapidly after the dry-field maneuver. Moreover, there was no need for an antihemorrhagic material.

Conclusion

Dry-field maneuver is an option for providing hemostasis, particularly, for a massive hemorrhage. It also has the potential to be used in elective surgeries because it improves the visual quality.

Keywords

Neuroendoscopy Intraventricular bleeding Dry field Cerebrospinal fluid 

Notes

Acknowledgments

This work was presented as a verbal statement at the 42nd ISPN meeting in Rio de Janeiro in 2014. The other academician who worked on this study was Prof. Dr. Yusuf Erşahin who unfortunately passed away in the same year. I remember him with respect.

Compliance with ethical standards

Conflict of interest

The corresponding author states that there is no conflict of interest.

Supplementary material

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References

  1. 1.
    Schroeder HW, Niendorf WR, Gaab MR (2002) Complications of endoscopic third ventriculostomy. J Neurosurg 96:1032–1040CrossRefGoogle Scholar
  2. 2.
    Di Rocco C, Massimi L, Tamburrini G (2006) Shunts vs endoscopic third ventriculostomy in infants: are there different types and/or rates of complications? A review. Childs Nerv Syst 22:1573–1589CrossRefGoogle Scholar
  3. 3.
    Abtin K, Thompson BG, Walker ML (1998) Basilar artery perforation as a complication of endoscopic third ventriculostomy. Pediatr Neurosurg, Switzerland, pp 35–41CrossRefGoogle Scholar
  4. 4.
    Cinalli G, Salazar C, Mallucci C, Yada JZ, Zerah M, Sainte-Rose C (1998) The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery 43:1323–1327 discussion 1327-1329PubMedGoogle Scholar
  5. 5.
    McLaughlin MR, Wahlig JB, Kaufmann AM, Albright AL (1997) Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report. Neurosurgery 41:1400–1403 discussion 1403-1404CrossRefGoogle Scholar
  6. 6.
    Tieu BH, Holcomb JB, Schreiber MA (2007) Coagulopathy: its pathophysiology and treatment in the injured patient. World J Surg 31:1055–1064CrossRefGoogle Scholar
  7. 7.
    Fukushima T, Ishijima B, Hirakawa K, Nakamura N, Sano K (1973) Ventriculofiberscope: a new technique for endoscopic diagnosis and operation. Technical note. J Neurosurg 38:251–256CrossRefGoogle Scholar
  8. 8.
    Fukushima T (1978) Endoscopic biopsy of intraventricular tumors with the use of a ventriculofiberscope. Neurosurgery 2:110–113CrossRefGoogle Scholar
  9. 9.
    Arakawa Y, Kang Y, Murata D, Fujimoto K, Miyamoto S (2013) Endoscopic surgery for intraventricular and paraventricular tumors. Neuro-Oncology 15:218–218CrossRefGoogle Scholar
  10. 10.
    Turhan T, Aydin O, Ersahin Y (2012) Neuroendoscopic surgery in empty ventricular system under continuous gas infusion experimental study of pressure changes and complications. Childs Nerv Syst 28:73–77CrossRefGoogle Scholar
  11. 11.
    Charalampaki P, Filippi R, Welschehold S, Conrad J, Perneczky A (2005) Tumors of the lateral and third ventricle: removal under endoscope-assisted keyhole conditions. Neurosurgery 57:302–311 discussion 302-311PubMedGoogle Scholar
  12. 12.
    Charalampaki P, Filippi R, Welschehold S, Perneczky A (2006) Endoscope-assisted removal of colloid cysts of the third ventricle. Neurosurg Rev 29:72–79CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Faculty of Medicine, Department of NeurosurgeryEge UniversityIzmirTurkey

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