• World Neurosurg · Jan 2017

    Controlled Suction with venous catheter irrigation in neurosurgery - a cost effective technique.

    • Manas Panigrahi, Manoranjitha Kumari, and Sudhindra Vooturi.
    • Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India. Electronic address: manaspanigrahi@live.com.
    • World Neurosurg. 2017 Jan 1; 97: 284-286.

    BackgroundKeeping the operating field clean and visible is an important technique in neurosurgery. Continuous irrigation-suction (IS) of the surgical field is currently often done using devices available that are expensive and demand technical proficiency. We report a simple method of continuous IS using a widely available central venous catheter and a controlled suction cannula.MethodsWe used a controlled suction cannula attached to a central suction system. A single lumen central venous catheter is passed through the keyhole of a controlled suction cannula, which is connected to a continuous irrigation system.ResultsThe operative field was clean throughout the procedure, obviating the need for an assisting surgeon to irrigate into the deep operating field and, hence, reducing the duration of surgery.ConclusionsThe proposed IS system could be surgeon friendly, easily manageable, yet cost-effective and efficient.Copyright © 2016 Elsevier Inc. All rights reserved.

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