The Small-Chamber Irrigation Technique (SCIT): A Simple Maneuver for Managing Intraoperative Hemorrhage During Endoscopic Intraventricular Surgery

Abstract

Abstract BACKGROUND: Acute intraoperative intraventricular hemorrhage is a feared event in endoscopic neurosurgical procedures. OBJECTIVE: To describe the small-chamber irrigation technique (SCIT) for intraoperative endoscopic management of intraventricular hemorrhage. METHODS: The SCIT was used in intraventricular surgery for hydrocephalus, intraventricular tumors requiring biopsy, arachnoid cysts, and colloid cysts. RESULTS: Intraventricular hemorrhage was successfully managed endoscopically with a combination of the SCIT, routine irrigation, and coagulation, allowing for completion of the primary procedures. CONCLUSION: The SCIT is a powerful tool that the neuroendoscopist can use for visualization to achieve hemostasis when performing intraventricular endoscopic surgery.