title: A novel device for intraoperative cauterization of bleeding points in endoscopic sinus surgery.
abstract: Hemostasis is a critical point in endoscopic sinus and skull base surgery. A variety of techniques are presently available for reducing intraoperative bleeding; however, several limitations of the classical instruments should be stated. For example, reaching bleeding points in an anatomically angled site with straightforward bipolar devices could be quite difficult. With the aim of solving this problem, we developed a simple system using a standard curved suction tube, a rubber catheter and a monopolar system. This device provides an integrated suction function and is able to reach all paranasal and skull base areas, making it extremely useful in gaining precise access to the site of bleeding while providing excellent endoscopic vision. The described monopolar suction tube has proven to be a valid instrument for intraoperative hemostasis in endoscopic procedures; moreover, it does not add any further cost, making it applicable in particular healthcare settings, such as those in developing countries.
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Pagella
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy. ale.pusateri@gmail.com.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Pusateri
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Berardi
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Zaccari
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy.
authors.forename: Irene
authors.initials: I
authors.lastname: Avato
authors.affiliation: Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy.
authors.forename: Elina
authors.initials: E
authors.lastname: Matti
mesh_terms: D002425:Cautery / Q000295:instrumentation*; D004724:Endoscopy; D004867:Equipment Design; D006470:Hemorrhage / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008488:Medical Illustration; D019635:Neurosurgical Procedures; D010256:Paranasal Sinuses / Q000601:surgery*; D010781:Photography; D019291:Skull Base / Q000601:surgery; D013396:Suction / Q000295:instrumentation
keywords: Bleeding; Cauterization; Endoscopic sinus surgery; Endoscopy; Epistaxis; Monopolar