Endoscopic intracerebral hemorrhage (ICH) evacuation is a medical procedure used to treat certain types of traumatic brain injury or hemorrhage. Cerebral hemorrhage occurs when the brain tissue bleeds by itself. This blood loss can increase intracranial pressure and damage brain tissue.
Endoscopic ICH removal uses an endoscope with a light and a camera at the end to get to the site of bleeding in the brain. This minimally invasive procedure is usually performed through a small incision in the skull rather than surgery ceremonially opened. Endoscopy allows surgeons to visualize the bleeding and remove the bleeding, reducing pressure on the surrounding brain tissue.
The process generally involves the following steps.
1. Preparation: The patient is prepared for surgery, which may include general anesthesia or sedation.
2. Incision or burr hole: A small incision or burr hole is made in the skull to allow access to the brain.
3. Endoscopic access: The endoscope is inserted through a cut hole or burr and accessed to the bleeding site in the brain.
4. Imaging and bleeding: The surgeon uses endoscopy to visualize bleeding and stop or remove the clot causing the bleeding.
The advantages of ICH removal by endoscopy include a potentially shorter recovery time compared with conventional open surgery if there is less trauma to the brain tissue surroundings but not all cases of intracerebral hemorrhage are appropriate for endoscopic drainage, the decision to use this procedure such as location Depends on types causes.