title: A novel monoshaft bipolar cautery for use in endoscopic intracranial surgery. A short technical note.
abstract: BACKGROUND
  Intraoperative hemorrhage is a critical issue in the endoscopic evacuation of intracerebral hemorrhage (ICH). Refined and dedicated endoscopic instruments for hemostasis are required. In this technical report, a hemostatic procedure using a monoshaft bipolar cautery is described. TECHNIQUE AND INSTRUMENTATION: The endoscope and monoshaft bipolar cautery are combined into a single-handed instrument, leaving the surgeon's other hand free to manipulate a suction cannula, and so a bimanual hemostatic device system - a combination of a monoshaft bipolar cautery and a multifunctional suction cannula - is obtained.
  
  
  RESULTS
  Hemostasis was possible with the monoshaft bipolar cautery during endoscopic hematoma evacuation procedures. No intraoperative complications during hemostasis were apparent, nor were any apparent postoperative complications suggestive of inadvertent tissue damage.
  
  
  CONCLUSIONS
  The present report describes the successful use of a monoshaft bipolar cautery and its application in a bimanual hemostatic device system.
authors.affiliation: Department of Neurosurgery, Nagoya University Graduate School of Medicine, Aichi, Japan. toru-ngy@umin.ac.jp
authors.forename: Toru
authors.initials: T
authors.lastname: Nagasaka
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsugeno
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ikeda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamoto
authors.forename: Suguru
authors.initials: S
authors.lastname: Inao
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Wakabayashi
mesh_terms: D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D002983:Clinical Competence; D004564:Electrocoagulation / Q000295:instrumentation*; D019723:Endoscopes; D004724:Endoscopy / Q000295:instrumentation*; D006490:Hemostatics; D006801:Humans; D008297:Male; D008875:Middle Aged; D013396:Suction; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
chemical_list: D006490:Hemostatics