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Endoscopic evacuation of putaminal hemorrhage: how to improve the efficiency of hematoma evacuation.

AbstractBACKGROUND:
A unique method of evacuation of hypertensive putaminal hemorrhage (HPH) using a stainless steel tube as a corridor under the assistance of a rigid endoscope is described. A simplified method to determine the precise location for burr hole placement is also reported.
METHODS:
From May 2003 to April 2004, 9 patients with HPH underwent endoscopic surgery in our hospital. Two different entry sites (temporal and frontal) were used to approach the hematoma in our series.
RESULTS:
The hematoma evacuation rate was more than 90% (median 93%) with the frontal approach and 84% with the temporal approach.
CONCLUSIONS:
Using a combination of a stainless steel tube, rigid endoscope, and coagulation suction with a frontal approach can facilitate optimal evacuation of HPH.
AuthorsPo-Chun Hsieh, Der-Yang Cho, Wen-Yuan Lee, Jung-Tsung Chen
JournalSurgical neurology (Surg Neurol) Vol. 64 Issue 2 Pg. 147-53; discussion 153 (Aug 2005) ISSN: 0090-3019 [Print] United States
PMID16051009 (Publication Type: Clinical Trial, Journal Article)
Topics
  • Aged
  • Drainage
  • Endoscopes
  • Endoscopy (methods)
  • Equipment Design
  • Female
  • Hematoma (etiology, surgery)
  • Humans
  • Intracranial Hypertension (complications)
  • Male
  • Middle Aged
  • Putaminal Hemorrhage (surgery)
  • Treatment Outcome

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