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Updated: Sep 26, 2025
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Management of severe intraoperative hemorrhage during intraventricular neuroendoscopic procedures: the dry field
Joachim Oertel1,2, Stefan Linsler3, Lea Strohm3
1Klinik für Neurochirurgie, Universität des Saarlandes, Homburg, Saar, Germany. Joachim.oertel@uks.eu.
Objective:
Neuroendoscopic procedures inside the ventricular system always bear the risk for an unexpected intraoperative hemorrhage with potentially devastating consequences. The authors present here their experience, and a stage-to-stage guide for the endoscopic management of intraoperative hemorrhages.
Methods:
A step-by-step guide for the management to gain control of and stop the bleeding is described including a grading system. More advanced techniques are presented in cases examples.
Conclusion:
Most of intraoperative hemorrhages can be controlled by constant irrigation and coagulation. More advanced techniques can be applied quickly and easily to ensure control of the hemorrhages and avoid the need for a microsurgical conversion.
