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Updated: Sep 20, 2025
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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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[Endoscopic interventions for gunshot craniocerebral injuries]
M N Kravtsov1, A E Chistyakov1, M A Legzdain1
1Kirov Military Medical Academy, St. Petersburg, Russia.
Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|May 30, 2025
Summary
Full-endoscopic removal of metallic fragments from cranial gunshot wounds offers a minimally invasive alternative to open surgery. This technique demonstrates effectiveness in specialized centers for deep-seated foreign bodies, reducing complications.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Trauma Surgery
Background:
- Full-endoscopic (neuroendoscopic) removal of cranial foreign bodies is an emerging technique.
- Minimally invasive approaches offer reduced impact on brain tissue and fewer complications compared to open surgery.
- CT navigation enhances the safety of these procedures.
Purpose of the Study:
- To evaluate the efficacy of fully endoscopic surgery for combat-related gunshot cranial injuries.
- To compare outcomes with existing global literature.
Main Methods:
- A systematic review of 12 articles was conducted.
- Five patients with shrapnel wounds underwent endoscopic foreign body removal.
- Procedures were performed in a specialized neurosurgery clinic.
Main Results:
- Successful endoscopic removal of foreign bodies was achieved in all five patients.
- The technique is effective for deep-seated metallic fragments in the brain, ventricles, and skull base.
- It is a viable option when primary treatment is high-risk or incomplete.
Conclusions:
- Full-endoscopic surgery is a safe and effective minimally invasive option for cranial foreign body removal in combat injuries.
- This technique is particularly beneficial in specialized centers for complex cases.
- It represents an advancement in neurosurgical trauma management.
