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A novel, cost-effective lens irrigation system for rigid endoscopes in transnasal endoscopic surgery

Published online by Cambridge University Press:  29 November 2021

R Sekar Open the ORCID record for R Sekar [Opens in a new window]  and
M F Hassan Open the ORCID record for M F Hassan [Opens in a new window]
R Sekar
Affiliation:
Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
M F Hassan*
Affiliation:
Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
*
Author for correspondence: Dr Mohamed Faizal Hassan, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India E-mail: mefaizi786@gmail.com
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Abstract

Background

In transnasal endoscopic surgical procedures, the lens of the endoscope often becomes fogged or smeared with mucus or blood. The surgeon has to clean the lens and reintroduce the endoscope multiple times during the surgery, making it a tiring process.

Methods

This paper describes an innovative lens irrigation system comprising a modified 16 Fr Foley catheter, a 20 cc or 50 cc syringe filled with warm normal saline (0.9 per cent), and a commercially available intravenous infusion set. The rigid endoscope is introduced into the catheter through the urine draining port. When the lens gets smudged with blood or mucus, the irrigating saline in the syringe is forced through the inflating port.

Results

A clear vision was restored immediately on flushing the syringe. The system did not compromise the operative space or hinder manoeuvrability.

Conclusion

This cost-effective, innovative lens irrigation system saves the time spent in cleaning the lens and enhances operational efficiency, especially in a low-income setting.

Keywords

EndoscopyNasal Surgical ProceduresSaline SolutionSurface TensionOperative TimeCost-Benefit AnalysisCatheters
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 8 , August 2022 , pp. 769 - 771
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M F Hassan takes responsibility for the integrity of the content of the paper

References

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