Frontiers in Neurology (Jan 2024)

The Third Hand of Neurosurgeons – a novel intraoperative malleable adjustable continuous suction tube

  • Jibo Zhang,
  • Jibo Zhang,
  • Pan Nie,
  • Pan Nie,
  • Zixuan Wei,
  • Zixuan Wei,
  • Chengshi Xu,
  • Chengshi Xu,
  • Xiang Li,
  • Xiang Li,
  • Jincao Chen,
  • Jincao Chen

DOI
https://doi.org/10.3389/fneur.2023.1333665
Journal volume & issue
Vol. 14

Abstract

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ObjectiveWe designed a novel intraoperative malleable adjustable continuous suction tube to obtain clear surgical fields, reduce intracranial pressure, and lower the temperature of the surgical area.MethodsThis device consists of six parts: continuous suction tube head and cotton patty, suction tube, fixed wire position, fixed clip, spiral plastic pressure regulating valve, and tail. It can continuously extract blood, cerebrospinal fluid, and rinsing solution from surgical fields, with minimal contact and trauma to tissues, nerves, and blood vessels, while also having a negligible impact on the surgeon’s focus and procedure.ResultThe excellent and safe performance (simple, malleable, adjustable, space-saving, inexpensive, safe, and effective) of this device in clearing the operating field has been proven in more than 2000 neurosurgical operative procedures. We encountered no complications associated with this device, such as cerebral hematoma, postoperative low intracranial pressure, or vascular and nerve injuries.ConclusionThe newly innovated intraoperative malleable adjustable continuous suction tube is effective and safe for microneurosurgery.

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