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Minim Invasive Neurosurg 2003; 46(4): 205-207
DOI: 10.1055/s-2003-42352
Original Article
© Georg Thieme Verlag Stuttgart · New York

Pro and Cons of Different Designs of Rigid Endoscopes

U.  Kehler1 , J.  Regelsberger1 , J.  Gliemroth2
  • 1Neurosurgical Department, University Hospital Hamburg Eppendorf, Germany
  • 2Neurosurgical Department, Medical University Lübeck, Germany
Further Information

Publication History

Publication Date:
24 September 2003 (online)

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Abstract

Experience with more than 200 neuroendoscopic procedures taught us the advantages and disadvantages of the different endoscope designs. Using an endoscope with a sheath with separate channels for the endoscope, the instruments as well as for rinsing and suction we found advantages in rinsing properties, handling, and preciseness of instrument steering. On the other hand an endoscope with a sheath with a singular channel for the endoscope itself, the instruments, rinsing, and suction the advantages were better in visualization of the instruments, more available instruments, and easier extraction of larger specimen. The knowledge of these advantages makes it possible to select the adequate endoscope regarding its design, especially in more complicated cases.

Key words

Neuroendoscopy - complications - hydrocephalus - third ventriculostomy

References

  • 1 Kehler U, Regelsberger J, Gliemroth J. The mechanism of fornix lesions in 3rd ventriculostomy.  Min Invas Neurosurg. 2003;  46 202-204
    PubMedSearch in Google Scholar
  • 2 Handler M H, Abbott R, Lee M. A near-fatal complication of endoscopic third ventriculostomy: case report.  Neurosurg. 1994;  35 525-527
    CrossrefPubMedSearch in Google Scholar
  • 3 Hirsch J F. Percutaneous ventriculocisternostomies in non-communicating hydrocephalus.  Monogr Neurol Sci. 1982;  8 170-178
    PubMedSearch in Google Scholar
  • 4 McLaughlin M R, Wahlig J B, Kaufmann A M, Albright A L. Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report.  Neurosurg. 1976;  41 1400-1403
    PubMedSearch in Google Scholar
  • 5 Mohanty A, Anandh B, Reddy M S, Sastry K VR. Contralateral massive acute subdural collection after endoscopic third ventriculostomy - a case report.  Minim Invas Neurosurg. 1997;  40 59-61
    PubMedSearch in Google Scholar
  • 6 Hader W J, Drake J, Cochrane D, Sparrow O, Johnson E S, Kestle J. Death after late failure of third ventriculostomy in children. Report of three cases.  J Neurosurg. 2002;  97 211-215
    CrossrefPubMedSearch in Google Scholar
  • 7 Benabarre A, Ibánez J, Boget T, Obiols J, Martinéz-Aran A, Vieta E. Neuropsychological and psychiatric complications in endoscopic third ventriculostomy: a clinical case report.  J Neurol Neurosurg Psychiatry. 2001;  71 268-271
    CrossrefPubMedSearch in Google Scholar
  • 8 Schröder H W, Niendorf W R, Gaab M R. Complications of endoscopic third ventriculostomy.  J Neurosurg. 2002;  96 1032-1040
    PubMedSearch in Google Scholar

Priv.-Doz. Dr. Uwe Kehler

Klinik für Neurochirurgie · Universitätsklinikum Eppendorf

Martinistr. 52

20246 Hamburg

Germany

Phone: +49-40/42803-2751

Fax: +49-40/42803-8121

Email: kehler@uke.uni-hamburg.de