Use of Blood Transfusion Set in Intraventricular Neuroendoscopy.

Hydrocephalus is treated with different types of shunts. With the advent of neuroendoscopy, hydrocephalus is being frequently managed by making third ventriculostomy. By this, obstructed ventricles are bypassed and CSF is diverted into pre-pontine cistern. Intraventricular tumors are being operated with craniotomy and transcortical transventricular or transcallosal approach to the tumors.1 These tumors can be approached with neuroendoscope to have good magnification, illumination and visualization.2 This is ideal for small cystic tumors. Intraventricular or paraventricular tumors like colloid cyst, craniopharyngiomas, ependymoma, and pineal gland tumors etc. are being inspected, biopsied or excised with neuroendoscope. Concomitantly the hydrocephalus associated with these tumors can be managed by endoscopic third ventriculostomy and septostomy.3 There are some limitations with this procedure such as small ventricles, vascular tumors and solid tumors, measuring more than 2 cm in size.4 The bleeding faced during resection of these lesions is controlled with irrigation and diathermy coagulation. Neuronavigation, stereotaxy, aspirators (CUSA) and other different newer modalities are being used along with flexible neuroendoscope to deal with intraventricular tumors.