Tailoring endoscopic third ventriculostomy for diverse 3rd ventricular floor landscapes

Abstract

Endoscopic third ventriculostomy (ETV) offers an effective minimally invasive solution for obstructive hydrocephalus. This video chapter provides insights into patient selection, surgical technique, and post-operative care for ETV. The chapter outlines ETV’s evolution and indications, emphasizing meticulous patient selection based on radiological parameters and clinical evaluation. Pre-operative planning ensures procedural precision, with detailed guidance on optimal head positioning and burr hole placement. Under general anesthesia, the ETV technique involves precise ventricular access and stoma creation using channeled neuroendoscopes. Post[1]operative management focuses on vigilant monitoring and outcome assessment. ETV demonstrates success rates ranging from 70 to 90%, with proper patient selection and pre-operative evaluation associated with better outcomes. This chapter serves as a valuable resource for neurosurgeons navigating hydrocephalus, showcasing ETV’s efficacy in select cases.