J Neurol Surg A Cent Eur Neurosurg 2021; 82(06): 594-598
DOI: 10.1055/s-0040-1701618
Technical Note

Benefits of Endoscopic Sheath in Intraventricular Neuroendoscopy: Technical Note

Sascha Marx
1   Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany
Henry W.S. Schroeder
1   Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany
› Institutsangaben


Background The usefulness of the endoscopic sheath is underreported in the literature.

Objective and Methods To explain the use of an endoscopic sheath and to highlight its benefits.

Results In addition to protecting the surrounding brain parenchyma when inserting the endoscope, the endoscopic sheath is a very useful tool to retract neurovascular structures, achieve hemostasis, and create adequate working space within narrow ventricles. The sheath can be moved within the ventricular system, and the endoscope can be moved independently within the sheath. These movements represent all the advantages of the endoscopic sheath.

Conclusions We used an endoscopic sheath in ∼ 300 intraventricular neuroendoscopic procedures and consider the sheath an essential part of a ventriculoscopic system. Proper use of the sheath can help avoid or manage endoscopic complications.


Eingereicht: 03. Juli 2019

Angenommen: 06. August 2019

Artikel online veröffentlicht:
19. Mai 2021

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