A Novel, Straightforward and Affordable Suction-Irrigation Device for Microneurosurgery: A Technical Note

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-06-06 DOI:10.1016/j.wneu.2025.124161

Cheng Qian, Tommi K. Korhonen, Mikael von und zu Fraunberg

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引用次数: 0

Abstract

Background

Irrigation and suction devices are essential tools in microneurosurgery, allowing the maintenance of a clear operative field and meticulous dissection of critical neurovascular structures. Currently available suction-irrigation devices are in limited use due to their high price and difficulty of use in real-life situations. We present a novel suction-irrigation apparatus that is easy to utilize in every microneurosurgical operation and can be assembled with tools available in most neurosurgical centers.

Methods

The irrigation device of a Medtronic irrigating drill is attached to a Fukushima suction tip with a small silicone band. Suction power is controlled by the surgeon's fingertip using a malleable suction tip, and irrigation is controlled using the drill's foot pedal. Narrated videos exemplifying the assembly and use of the suction-irrigation device were recorded.

Results

We have used the suction-irrigation device in 107 surgeries to date since its first application and have found it to enhance the operative experience as it provides optimal surgical visibility with reduced effort compared to traditional means. Adjuvant drugs such as nimodipine may be added to the irrigation fluid. The use of the suction-irrigation apparatus reduces the requirement of bipolar coagulation and improves operating comfort compared to a traditional stand-alone suction device and an assistant irrigating.

Conclusions

We present the application of a cost-effective suction-irrigation technique that can be easily assembled from widely used traditional neurosurgical tools. The novel device enables minimally traumatic neurovascular microdissection even in the setting of subarachnoid hemorrhage and highly vascular tumors.

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一种用于微神经外科的新型直接且价格合理的吸灌装置：技术说明。

背景：冲洗和吸引装置是显微神经外科手术中必不可少的工具，可以维持清晰的手术区域并细致地解剖关键的神经血管结构。目前可用的吸灌装置由于价格昂贵和难以在现实生活中使用而使用有限。我们提出了一种新型的吸灌装置，易于在每一个微神经外科手术中使用，并且可以与大多数神经外科中心可用的工具组装。方法：将美敦力冲洗钻的冲洗装置用小硅胶带连接在福岛吸头上。抽吸力由外科医生的指尖使用可弯曲的吸头控制，灌洗由钻头的脚踏板控制。叙述视频举例说明组装和使用的吸灌装置被记录下来。结果：自首次应用以来，我们已在107例手术中使用了吸灌装置，并发现与传统手段相比，它提供了最佳的手术可视性，减少了工作量，从而提高了手术体验。辅助药物如尼莫地平可添加到冲洗液中。与传统的独立吸灌装置和辅助灌洗装置相比，吸灌装置的使用减少了双极凝固的要求，提高了操作舒适性。结论：我们提出了一种具有成本效益的吸灌技术的应用，该技术可以从广泛使用的传统神经外科工具中轻松组装。这种新型装置即使在蛛网膜下腔出血和高度血管性肿瘤的情况下也能进行微创神经血管显微解剖。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS