• Li Zhenzhu, Xu Ruiyu, Chen Wei, Wang Henglu, Ding Jinke, Shao Wei, Du Hongpeng, Gao Wenbo, Liu Pengfei, Liu Yongliang, Li Meng, Li Jianmin, and Li Zefu.
• Department of Neurosurgery, Qilu Hospital, Shandong University, Jinan, Shandong, China; Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou, Shandong, China.
• World Neurosurg. 2020 Mar 1; 135: 367-374.e1.

BackgroundIntracerebral hematomas (ICH) is a common disease in the developing countries, and minimally invasive transportal resection of ICH is a widely accepted surgical technique. Many port systems are available, but most are disposable and expensive. We present a safe and cost-effective glove-syringe substitute for endoscopic hematoma evacuation, suitable for developing countries such as China.MethodsA port substitute of different sizes and lengths was constructed using sterile gloves and syringes, commonly found in a surgical environment.ResultsWe successfully performed endoscopic hematoma removal in 7 patients including 1 cerebellar hemorrhage case and the remaining 6 supratentorial basal ganglia cases (1 patient taking oral aspirin). Bipolar electrocoagulation was used to control bleeding from the ruptured blood vessels. There were no postsurgical complications.ConclusionsThe glove-syringe port is a convenient, safe, and cost-effective tubular port system for endoscopic surgery of ICH. Such ports can be used as substitutes when commercial sleeves are unavailable, especially in rural areas and developing countries.Copyright © 2019 Elsevier Inc. All rights reserved.

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