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Updated: Aug 16, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Endoscopic evacuation of putaminal hemorrhage: how to improve the efficiency of hematoma evacuation
Po-Chun Hsieh1, Der-Yang Cho, Wen-Yuan Lee
1Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan, Republic of China. andrewhsieh@giga.net.tw
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.