Abstract | BACKGROUND: 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.
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Authors | Po-Chun Hsieh, Der-Yang Cho, Wen-Yuan Lee, Jung-Tsung Chen |
Journal | Surgical neurology
(Surg Neurol)
Vol. 64
Issue 2
Pg. 147-53; discussion 153
(Aug 2005)
ISSN: 0090-3019 [Print] United States |
PMID | 16051009
(Publication Type: Clinical Trial, Journal Article)
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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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