Turhan Tuncer
Faculty of Medicine, Department of Neurosurgery, Ege University, Izmir, Barnova, Turkey.
Childs Nerv Syst. 2018 Mar;34(3):541-545. doi: 10.1007/s00381-017-3652-2. Epub 2017 Nov 9.
Massive hemorrhages pose a significant problem in intraventricular endoscopic surgeries. These hemorrhages have the potential to cause mortality and morbidity, particularly in excisional surgeries. Often, the bleeding can be controlled only by cauterization and liquid irrigation, due to the incongruity of the use of antihemorrhagic agents in the fluid. The final option to stop the massive bleeding is the dry-field maneuver. In this study, the effects and clinical results of the dry-field maneuver in bleeding control of a massive bleeding were investigated.
Dry-field maneuver was retrospectively studied in a patient population that had massive bleeding during intraventricular endoscopic procedures.
Dry-field maneuver was used in seven patients. Four of these patients underwent some excisional surgery. The other two patients were operated for an endoscopic third ventriculostomy and one for intraventricular hemorrhage evacuation. It was observed that the hemorrhage in patients stopped rapidly after the dry-field maneuver. Moreover, there was no need for an antihemorrhagic material.
Dry-field maneuver is an option for providing hemostasis, particularly, for a massive hemorrhage. It also has the potential to be used in elective surgeries because it improves the visual quality.
大量出血是脑室内内镜手术中的一个重大问题。这些出血有可能导致死亡和发病，尤其是在切除手术中。由于液体中使用抗出血药物不协调，通常只能通过烧灼和液体冲洗来控制出血。停止大量出血的最终选择是干场操作。在本研究中，研究了干场操作在控制大量出血中的效果和临床结果。
对在脑室内内镜手术期间发生大量出血的患者群体进行回顾性研究干场操作。
七名患者使用了干场操作。其中四名患者接受了一些切除手术。另外两名患者接受了内镜下第三脑室造瘘术，一名患者接受了脑室内出血清除术。观察到干场操作后患者的出血迅速停止。此外，不需要抗出血材料。
干场操作是一种实现止血的选择，特别是对于大量出血。它也有潜力用于择期手术，因为它提高了视觉质量。
