Turkish Neurosurgery 2016 , Vol 26 , Num 6
Endoscopic Evacuation of Subdural Collections
Suat BOYACI1, Oguzhan Guven GUMUSTAS2, Serdar KORKMAZ3, Kaya AKSOY4
1Bursa Acibadem Hospital, Department of Neurosurgery, Bursa, Turkey
2Bursa Acibadem Hospital, Department of Radiology, Bursa, Turkey
3Bursa Acibadem Hospital, Department of Anesthesiology, Bursa, Turkey
4Acibadem University, Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.14113-15.2 AIM: Intraoperative use of the endoscope is a hot topic in neurosurgery and it gives broader visualization of critical and hardlyreached areas. Endoscope-assisted surgical approach to chronic subdural haematoma (SDH) is a minimally invasive technique and may give an expansion to the regular method of burr-hole haematoma drainage.

MATERIAL and METHODS: Endoscope-assisted haematoma drainage with mini-craniotomy was performed over a 24-month period, and prospectively collected data is reviewed. A total of 10 procedures (8 patients) were performed using the endoscopeassisted technique. Four of them were chronic SDH and six were subacute SDH.

RESULTS: Procedures were extended 20 minutes in average because of endoscopic intervention. There was no extra-morbidity through the study as a consequence of endoscopic assessment.

CONCLUSION: Endoscope-assisted techniques can make the operation safe in selected circumstances with improved intraoperative visualization. It may likewise take into consideration the identification and destruction of neo-membranes, septums and solid clots. In addition, the source of bleeding can be easily coagulated. The endoscope-assisted techniques, with all of these features, can alter the pre- and intra-operative decision-making for selected patients. Keywords : Endoscope, Subdural Haematoma, Minimally invasive, Craniostomy

Corresponding author : Suat Boyac?, suatboyaci@hotmail.com