Kuroda Rintarou, Nakajima Takeshi, Yamaguchi Takashi, Watanabe Eiju
Department of Neurosurgery, Jichi Medical University.
Neurol Med Chir (Tokyo). 2016 Jul 15;56(7):409-15. doi: 10.2176/nmc.tn.2015-0218. Epub 2016 Apr 11.
Obstruction of the visual field by blood is a major hindrance during endonasal endoscopic surgery, and a rapid and effective method for cleaning the lens is needed. We developed a new lens-cleaning system that does not employ a sheath or an irrigation-suction system. It is a 20-mm long cylinder with side holes that is attached to the barrel of the endoscope and is connected to a syringe containing saline. When the syringe is pressed, saline flows down to the tip along the barrel and washes the lens without requiring a sheath. We report the use of the system in six cases of endonasal endoscopic surgery. The lens was wiped significantly less often than during similar surgery performed without the use of this system. The Endosplash is simple and enables the surgeon to clean the lens with a single press of a syringe, thereby greatly enhancing the efficacy of endoscopic surgery.
血液导致的视野受阻是鼻内镜手术中的一个主要障碍，因此需要一种快速有效的镜片清洁方法。我们开发了一种新的镜片清洁系统，该系统不使用鞘管或冲洗吸引系统。它是一个20毫米长、带有侧孔的圆柱体，连接在内窥镜镜筒上，并与装有生理盐水的注射器相连。当按压注射器时，生理盐水沿着镜筒流到尖端，无需鞘管即可冲洗镜片。我们报告了该系统在6例鼻内镜手术中的应用情况。与未使用该系统的类似手术相比，镜片擦拭的频率明显降低。Endosplash系统操作简单，外科医生只需按压一次注射器就能清洁镜片，从而大大提高了内镜手术的效率。
