Minimally Invasive Endoscopic Procedure for Hematoma Removal from the Human Brain

Begin with a human participant with a skull opening.

Incise the dura and pia mater to access the brain tissue cavity containing the intracerebral hematoma, a localized blood accumulation outside the vessels.

Insert a navigation probe-connected introducer sheath along the pre-determined path.

Using real-time probe guidance, the sheath reaches near the hematoma. Remove the probe and the introducer.

Now, take an endoscope connected to an irrigation system and an aspiration wand.

Insert the endoscope through the sheath. Adjust the suction and irrigation settings.

Initiate aspiration to remove the hematoma while maintaining continuous saline flow to prevent cavity collapse.

Next, reduce the suction pressure to protect the brain tissues and increase the irrigation flow to preserve the cavity's structure.

Aspirate the residual hematoma while saline flow washes the surgical field, enhancing visibility.

Once the cavity is clear, withdraw the endoscope, ensuring a minimally invasive hematoma removal.

After confirming the size and location of the injury, open the dura in a cruciate fashion and cauterize the dura leaves to within a millimeter of the bone edge. Using a number 11 blade, make a one centime