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Hemostasis in brain tumor surgery using the Aquamantys system
Giovanni Grasso1, Filippo Giambartino2, Domenico G Iacopino1
1Section of Neurosurgery, Department of Experimental Biomedicine and Clinical Neurosciences (BIONEC), University of Palermo, Palermo, Italy.
Summary
The Aquamantys® system effectively controlled bleeding in brain tumor surgeries. This novel bipolar coagulation device minimized blood loss and reduced surgical time without complications.
Area of Science:
- Neurosurgery
- Surgical Technology
- Hemostasis
Background:
- Controlling intraoperative bleeding is critical in cranial and spinal tumor surgery.
- Generalized ooze bleeding from tumor sites poses a significant challenge.
- Existing hemostatic techniques include embolization, hypotension, coagulation, and sealants.
Observation:
- The Aquamantys® system, a bipolar coagulation device, was evaluated in 10 cerebral tumor patients.
- It utilizes simultaneous bipolar radio frequency energy and conductive fluid delivery.
- The system prevents charring and cools tissue while coagulating vessels.
Findings:
- The Aquamantys® system achieved effective hemostasis in all cases.
- No device-related complications or adverse reactions were observed.
- The technology demonstrated a clean tip and effective vessel sealing.
Implications:
- The Aquamantys® system shows promise as an effective adjunct for minimizing blood loss in brain tumor surgery.
- This technology may contribute to reduced surgical duration.
- Further research could explore its broader application in neurosurgical oncology.

