Bipolar Coagulation Research Articles

Safe distance from facial nerve for bipolar coagulation in parotid surgery-Animal study.

Currently no data exist on what distance from facial nerve (FN) it is safe to perform bipolar cautery (BC) in parotid surgery, although frequently performed. The degree of damage was measured using continuous intraoperative neuromonitoring (cIONM, NIM™ 3, Medtronic) in 16 Wistar rats. Amplitude drop of at least 50% (A50) or a loss of signal (LOS) in the cIONM was defined as harmful; BC was performed in power range 20-60 W. BC ≤30 W did not cause LOS (0/14 nerves). When applying 35 W, A50 occurred at 4 mm from FN and LOS was noted in 1 of 5 nerves. BC at a power of 40 to 60 W demonstrated LOS in all nerves (12/12) at a 5 mm distance. BC up to 30 W can be safely applied up to 3 mm distance from FN. 40 to 60 W should be avoided and used only at a distance of over 6 mm from FN. NA/animal study. Laryngoscope, 2024.

Plasma knife sphenopalatine artery cauterization via lateral nasal wall incision for posterior epistaxis

Background Endoscopic sphenopalatine artery cauterization (ESPAC) has become an important method to manage posterior epistaxis. Aims/Objectives To investigate the application of plasma knife and lateral nasal wall incision in ESPAC in the treatment of posterior epistaxis. Material and methods A retrospective study of 32 cases who underwent ESPAC for epistaxis was conducted. A vertical incision was made on the lateral nasal well to expose the sphenopalatine artery (SPA). The main branches of SPA were cauterized with a plasma knife or bipolar coagulation forceps. Cases were divided into plasma knife group (group PK) and bipolar group (group BP). The re-bleeding rates, operation time and the incidence of serious complication were compared between the two groups. Results ESPAC was successfully completed via a lateral nasal wall incision without maxillary antrostomy in all cases. All the patients were followed-up for 3 months, no serious complication was reported. There was no significant difference in re-bleeding rates and incidence of serious complication between the two groups. The operation time of group PK was shorter than group BP. Conclusions and significance Lateral nasal well incision without maxillary antrostomy is feasible for ESPAC. The application of a plasma knife may help to shorten the operation time.

A method of “Noninjecting Resection using Bipolar Soft coagulation mode; NIRBS” for superficial non-ampullary duodenal epithelial tumor: a pilot study

BackgroundComplete endoscopic resection of superficial non-ampullary duodenal epithelial tumors (SNADETs) is technically difficult, especially with an extremely high risk of adverse event (AE), although various endoscopic resection methods including endoscopic mucosal resection (EMR), underwater EMR (UEMR), and endoscopic submucosal dissection (ESD) have been tried for SNADETs. Accordingly, a novel simple resection method that can completely resect tumors with a low risk of AEs should be developed.AimsA resection method of Noninjecting Resection using Bipolar Soft coagulation mode (NIRBS) which has been reported to be effective and safe for colorectal lesions is adapted for SNADETs. In this study we evaluated its effectiveness, safety, and simplicity for SNADETs measuring ≤ 20 mm.ResultsThis study included 13 patients with resected lesions with a mean size of 7.8 (range: 3–15) mm. The pathological distributions of the lesions were as follows: adenomas, 77% (n = 10) and benign and non-adenomatous lesions, 23% (n = 3). The en bloc and R0 resection rate was 100% (n = 13). The median procedure duration was 68 s (32–105). None of the patients presented with major AEs including bleeding and perforation.ConclusionsLarge studies such as prospective, randomized, and controlled trials should be conducted for the purpose of validating effectiveness, safety, and simplicity of the NIRBS for SNADETs measuring ≤ 20 mm suggested in this study.

Short- and Long-Term Outcome of Selective Reduction by Fetoscopy-Guided Bipolar Cord Coagulation in Monochronic Twin Pregnancies

Introduction: The aim of this study was to assess the short- and long-term outcome of selective reduction by fetoscopy-guided bipolar cord coagulation in monochronic twin pregnancies. Methods: Retrospective analysis was conducted of a consecutive cohort of all monochorionic twin pregnancies treated with fetoscopy-guided bipolar cord coagulation between December 2015 and December 2022 in a single center in China. Results: A total of 43 monochronic twin pregnancies undergoing fetoscopy-guided bipolar cord coagulation were analyzed. There were 5 intrauterine deaths with an 88.4% (38/43) survival rate overall. The preterm premature rupture of the membranes rate was 13.2%, and the preterm birth before 37 and 32 weeks was 42.1% and 13.1%, respectively. An uptrend in the survival rate (78.9 vs. 95.8%, p = 0.086) and a downtrend of procedure time (30 vs. 16.5 min, p = 0.036) were observed over time (period 1 from December 2015 to December 2019 verses period 2 from January 2020 to December 2022). Long-term outcome was assessed in 94.6% (35/37) of survivors, and 91.4% (32/35) had normal neurodevelopmental outcome. Conclusion: Fetoscopy-guided bipolar cord coagulation for fetal reduction in complicated monochorionic twin pregnancies could achieve a favorable short- and long-term outcome, especially in experienced hands.

Bipolar membrane assistant landfill leachate coagulation by bauxite tailings with oxalic acid

In this study, bauxite tailings were innovatively employed as the coagulant resource in the treatment of nanofiltration concentrated landfill leachate (NCLL) via bipolar membrane electrodialysis (BMED). The employment of H2C2O4 as the leaching acid, in lieu of HNO3, not only promoted the leaching of metal ions but also minimized the competitive migration of free H+, attributable to its chelating effect. The COD removal increased from about 40.4 % to about 49.9 %, while the energy consumption (EC) decreased to about 0.05 kWh/g COD when the acid is replaced by H2C2O4. An optimal dosage of bauxite tailing is crucial for effective COD removal. An increase in the initial concentration of H2C2O4 benefits metal leaching, while, an excessive concentration thereof augments the competition of H+ ions, thereby impeding the coagulation process. Furthermore, the current density exerted a notable impact on both COD removal and EC, with an optimal density identified at 5 mA/cm2. Connecting more treatment units still maintains COD removal efficiency at approximately 50 %, with a significant reduction in EC of about 24 %, necessitating only 0.038 kWh/g COD. Humic-like and fulvic-like acids are efficiently coagulated, which represent the principal biorefractory substances in NCLL. Consequently, this research delineates a novel approach for the utilization of bauxite tailings and the treatment of NCLL.

Characteristics of the reproductive potential of women with ovarian endometrioma

Endometriosis is one of the most studied hormone-dependent pathological conditions in modern gynecological practice, which is diagnosed in 300 million women of reproductive age worldwide. The frequency of endometriosis in the general population of women is 10–15%, its rate is 46% among the patients with infertility and 80% – among the patients with pelvic pain syndrome. Ovarian endometriomas in the structure of external genital endometriosis account for 64%.The objective: to determine the state of the ovarian reserve in women of reproductive age with ovarian endometriomas depending on the surgical treatment method.Materials and methods. The study involved 120 women of reproductive age with ovarian endometriomas, who were surgically treated by laparoscopic access, and 30 women of the control group, who were included in the examination for the purpose of evaluating the physiological parameters of the ovarian reserve, who applied for the solution of contraception issues.Group I included 60 women who underwent intraoperative bipolar coagulation (BC) of the ovarian medulla for the purpose of hemostasis, 30 persons of them underwent inversion cystectomy (Subgroup IA) and 30 patients underwent traditional cystectomy (Subgroup IB).Group II included 60 patients who underwent intraoperative BC of the medullary and cortical layers, of which 30 underwent inversion cystectomy (Subgroup IIA) and 30 underwent traditional cystectomy (Subgroup IIB).For the assessment the functional state of the ovaries echographic examination, Doppler study and hormonal examination were carried out (determination of the concentration of anti-Mullerian hormone (AMH), basal level of follicle-stimulating hormone (FSH), inhibin B in blood plasma) before and 3 months after surgical treatment.Results. The indicators of the ovarian reserve of the patients of the studied groups before the surgical treatment were significantly different from the indicators of the women of the control group, which was manifested by a decreased number of antral follicles (AF) by 1.6 times, a decreased volume of ovarian tissue by 1.5 times, a decreased vascularization index (IV) by 2.4 times and the blood flow index (IC) by 1.2 times, an increase in the FSH index by 1.3 times, a decreased AMH level by 1.3 times and a decreased inhibin B concentration by 2.3 times (p<0, 05).After the surgical intervention, even more pronounced pathological changes in the reproductive potential were found, which were associated with deep neurovascular disorders in the ovaries and the death of part of the generative cells as a result of the cystectomy and hemostasis with the use of high-frequency energy.Conclusions. When using BC of the medullary and cortical layers of the ovaries a decreased number of AF by 48.8% and the decreased volume of the tissue of the operated ovary by 41.3% were found compared to the preoperative period, which is 4.1 and 3.1 times more than with BC of the medullary layer (p<0.05). Hormonal homeostasis disorders were manifested by a compensatory increased level of FSH by 46.8% and a decreased AMH concentration by 23.5% (p<0.05).In the case of the use of BC of the medulla of the ovary with inversion cystectomy, the decrease in the ovarian reserve is expressed at least. The use of BC of the medullary and cortical layers of the ovary with inversion cystectomy leads to a decreased ovarian reserve to a low level 2.2 times less often than when using a classic cystectomy (p<0.05).

Endoscopic hemostasis with bipolar forceps coagulation for post-endoscopic sphincterotomy bleeding.

Endoscopic hemostasis with bipolar forceps coagulation for post-endoscopic sphincterotomy bleeding.

Comparison of ovarian reserve after cystectomy of ovarian endometrioma by bipolar coagulation, suture method, or hemostatic sealants: An updated meta-analysis.

The purpose of the study was to compare the ovarian reserve after cystectomy of ovarian endometrioma by bipolar coagulation, suture method, or hemostatic sealants (HSs). We performed a meta-analysis of studies in which post-cystectomy serum anti-Müllerian hormone (AMH) values were compared between bipolar coagulation and suture method or between bipolar coagulation and HSs. Through a literature search, we retrieved 14 articles which met inclusion criteria and were eligible for final analysis. The articles included 10 randomized trials, 3 prospective studies, and 1 retrospective study (n = 1435). The primary outcome was post-cystectomy serum AMH values. Both bipolar coagulation and suture methods showed significantly lower post-cystectomy AMH values at 3, 6, and 12 months. However, post-cystectomy serum AMH values at 12 months were significantly higher in the suture method group compared to the bipolar coagulation (weighted mean difference [WMD]: -1.10, 95% confidence interval [CI]: -1.83, -0.38, p = 0.003, I2 = 89, n = 3). The suture method also showed a lower decline rate at 3 months post-cystectomy compared to the bipolar coagulation group (WMD: -25.13%, 95% CI: -49.56 to -0.70, p = 0.04, I2 = 95%, n = 2). Overall, pregnancy rates were similar between the two groups. Between the bipolar coagulation and HSs group, serum AMH values at 3 months post-cystectomy were similar (WMD: -0.46, 95% CI: -1.04 to 0.13, p = 0.13, I2 = 0%, n = 3). However, the HSs group showed a less decline rate at 3 months post-cystectomy compared to the bipolar coagulation group (WMD: -17.02%, 95% CI: -22.81, -11.23, p < 0.00001, I2 = 0%, n = 3). Both the suture method and HSs may have potential benefits in the preservation of ovarian reserve over the bipolar coagulation method when cystectomy for ovarian endometrioma is performed.

Laparoscopic medulla-sparing ovarian tissue biopsy for cryopreservation: step-by-step surgical technique

To describe a laparoscopic technique for ovarian tissue biopsy (OTB) for fertility preservation. In the last years, the demand for fertility preservation has grown because of the increasing survival rates among patients with cancer and the rising awareness of the importance of quality of life after gonadotoxic therapy. Among fertility-sparing approaches, ovarian tissue cryopreservation is a valid strategy to preserve ovarian endocrine and reproductive function in prepubertal and postpubertal women who will undergo gonadotoxic cancer treatments. Currently, there is no universal consensus regarding ovarian tissue retrieval technique for fertility preservation. Step-by-step description of the surgical technique with narrated video footage. Academic tertiary hospital. Patients with a high risk of premature ovarian insufficiency, usually due to gonadotoxic treatments, who undergo OTB for fertility preservation were included in the study. In this video, we present the clinical case of a 28-year-old patient affected by Hodgkin lymphoma who underwent laparoscopy for OTB before chemotherapy. After exposing the chosen ovary, an incision at the tubal pole of the ovary is made with scissors. Through section and dissection, a large cortical biopsy of the ovary is performed without removing and avoiding any damage to the medulla. At the end of the procedure, hemostasis was achieved with selective coagulation using bipolar coagulation. Step by step educational video. The post-operative course was uneventful and the patient was discharge 24 hours after surgery. Standardization of a step-by-step laparoscopic technique can provide an effective method to optimize ovarian tissue removal while minimizing tissue injury. Medulla-sparing ovarian biopsy allows retrieval of only the cortical part of the ovary, maximizing the number of primordial follicles obtained without damaging the vascular supply of the ovary contained within the medulla. Primordial follicles are resistant to cryoinjury owing to their relatively inactive metabolism, and they are usually found at approximately 0.8 mm below the surface of the cortex. This technique could also reduce the back-table processing time of the ovarian tissue before cryopreservation. One disadvantage could be the difficulty of the technique compared to an oophorectomy because it requires a skilled surgeon that can easily find the cleavage plane between the medulla and the cortex, even in patients submitted to previous chemoradiotherapy or during gonadotropin-releasing hormone analogue therapy.

Endoscopic Hemostasis Using Bipolar Coagulation of Small Colonic Diverticular Bleeding With a Microcaliber Tip Cap Under Direct Visualization.

Endoscopic Hemostasis Using Bipolar Coagulation of Small Colonic Diverticular Bleeding With a Microcaliber Tip Cap Under Direct Visualization.

HARMONIC SCALPEL COMPARED TO BIPOLAR COAGULATION FOR THYROIDECTOMY

Introduction. The basic principles of high-efficient and safe thyroid surgery were established by 1920: identification and ligation of vessels, identification and preservation of laryngeal nerves, and parathyroid glands. Bleeding remains one of the major intraoperative complications of thyroid surgery.&#x0D; The aim of this study is to evaluate the benefits of the Harmonic when compared with bipolar coagulation for open thyroidectomy.&#x0D; Materials and methods: We enrolled 85 patients who underwent total thyroidectomy for multinodular disease from 2019 till 2022 years. Patients were randomly assigned to either the group 1 (43 patients in which the operation was performed entirely using the Harmonic scalpel (HS) and no other haemostatic tool) or the group 2 (42 patients in which the operation was performed using classic technique of resorbable ligature, bipolar coagulation). The inclusion criteria were scheduled total thyroidectomy for multinodular goiter.&#x0D; Results. There were no significant differences between two groups regarding age, gender, ASA distribution, so two groups are comparable. The mean operating time in the group 1 was 62.84±0.66 (M±m) minutes, and that in the group 2 was 75.19±0.42 (M±m) minutes for thyroidectomy, and there was 19.65% (i.e. 12.35 minutes) statistically significant reduction in the operating time using the Harmonic scalpel device (p&lt;0.05). The 48 hours mean total amount of drainage was 69.05±0.88 (M±m) ml for group 1 and 81.40±0.64 (M±m) ml for group 2, which was statistically significant (p&lt;0.05). The rate of postoperative complications was comparable among the two groups (pχ2&gt;0,05).&#x0D; Conclusions. The use of Harmonic scalpel in thyroid surgery is safe and effective and is associated with a significant reduction in operative time without increasing complications rate, may also permit a better view of structures to preserve nerves, vessels of parathyroid glands and parathyroid glands when operating. Other benefits include significantly lower blood loss, efficient hemostasis and sectioning in a single instrument.

Role of hysteroscopy in the diagnostics of endometrium pathology and in the application of auxiliary reproductive technologies

Abstract. The introduction of endoscopic technologies made it possible to significantly expand diagnostic possibilities and clarify the nature of intrauterine pathology when using assisted reproductive technologies. Hysteroscopy allows you to take material for examination from the uterine cavity, and also ensures the carrying out of this procedure for diagnostic purposes as much as possible. Treatment of infertility by hysteroscopy plays a very important role in restoring a woman's reproductive function. The aim of the study was to improve the diagnosis of endometrial pathology through the use of hysteroscopy and targeted biopsy in the restoration of fertility and the use of assisted reproductive technologies. Materials. A clinical and statistical analysis of the results of 88 operative hysteroscopies in patients with infertility, which were divided into two groups, was carried out. The first group included 80 patients (90.91 %) with genital and extragenital pathology. The second group included 8 patients (9.01 %) who did not have concomitant gynecological and extragenital pathology. Hysteroscopy was performed with the equipment and tools of the «KARL STORZ» company. Monopolar and bipolar coagulation was used for hemostasis. Taking into account that pathology of the uterine cavity and endometrial are frequent causes of impaired reproductive function, it was proposed to use hysteroscopy to restore reproductive function. The results. The condition of the mucous membrane of the uterus with the help of hysteroscopy was studied in all clinical observations, since this method of instrumental research allows primarily to examine and evaluate the structural features of the endocervix and endometrial. In observation groups I and II, hysteroscopy was performed in all 88 patients: group 1 in 80 patients (90.91%) with pathological changes of the uterine mucosa and group 2 – in 8 patients (9.01 %) without pathology of the uterine mucosa. At the same time, 4 (3.52 %) women of 2 groups were diagnosed with extragenital pathology, and gynecological pathology was eliminated. The most common were endometrial polyps, chronic endometritis, cervical canal stenosis, and synechiae in the uterine cavity. Endoscopic technologies have expanded the diagnostic capabilities of investigating intrauterine pathology at the stage of fertility restoration and preparation for in vitro fertilization (IVF) and overcoming the causes of infertility. Conclusions. Hysteroscopy with morphological examination of the endometrial remains the main method of diagnosing intrauterine pathology. The obtained data will help the clinician to make the correct diagnosis in a timely manner and develop optimal and individual patient management tactics.

Influence of different peritoneal incision closure methods on the operative outcomes and prognosis of patients undergoing laparoscopic inguinal hernia repair.

The aim was to investigate the effect of different peritoneal tear closure methods on the operative outcomes and prognosis of patients undergo-ing laparoscopic inguinal hernia repair (LIHR). Ninety patients who underwent LIHR in our hospital from August 2019 to December 2020 and had peritoneal tears during the operation were selected, and the patients were divided into a control group (CG) and the observation group (OG) according to different treatment plans, with 45 cases in each group. Patients in the CG were treated with absorbable sutures to repair the peritoneal tears, while patients in the OG were treated with bipolar coagulation to close and repair the peritoneal tears. The surgical conditions, postoperative pain scores, quality of life scores, com-plications, and recurrence were compared between the CG and OG groups. The operation time and hospital stay in the OG were shorter than those in the OG (p&lt;0.05). The pain scores in the OG at 24 hours after operation were lower than those in the CG (p&lt;0.05), and the pain scores of the two groups were not significantly different at two hours and 12 hours (p&gt;0.05). Postoperative complications were not significantly different between the groups (p&gt;0.05). The scores of material life, physical, social, and psychological function in the OG were higher than in the CG (p&lt;0.05). There were no recurrences in the two groups during the 1-year follow-up. Closing repair of peritoneal rupture with bipolar coagulation reduces the operation time of patients with peritoneal rup-ture during TEP (total extraperitoneal hernioplasty) operations, reduces pain, and improves their quality of life. The treatment outcome is safe, effective, and has an excellent clinical application effect.

Opticon Vitrectomy System

The Opticon vitrectomy system is a safe and efficient unit used for anterior and posterior segment surgical procedures. The device is designed to perform phacoemulsification, irrigation/aspiration, anterior and posterior vitrectomy, making air/silicone tamponade, intraocular illumination and bipolar diathermy coagulation procedures.

Unilateral Biportal Endoscopic Laminectomy-Bilateral Decompression Using a Monoportal Scope and Bipolar Coagulator for Lumbar Spinal Stenosis: A Technical Report.

The purpose of this study was to introduce the application of a monoportal scope and bipolar coagulator used in full-endoscopic spine surgery (FESS) for unilateral biportal endoscopy-unilateral laminectomy bilateral decompression (UBE-ULBD) in those with central stenosis. A 68-year-old man who presented with cauda equina symptoms underwent UBE-ULBD to improve his central stenosis at the L2/3 level. In this technique, a FESS scope was attached to a camera portal in place of a common arthroscope. A decompression tool was subsequently inserted through the working portal, and the lower border of the vertebral lamina and the lower border of the contralateral lamina were resected. Additionally, the superior border of the L3 level was thinned using a high-speed drill, and the ligament flavum was excised. The operation time was 70 minutes, and his symptoms improved. The patient was discharged from the hospital four days postoperatively. We found three advantages of using a FESS scope and bipolar coagulator, including the ability to 1) stabilize the camera via placement of the sleeve against the bone, 2) minimize the wounded area by irrigating saline on the side of the scope, and 3) provide bipolar tissue hemostasis in an isolated area around the nerves. Therefore, among the UBE techniques, we believe that assisted full-endoscopic spine surgery (AFESS) is a viable option to offer a more minimally invasive surgery for patients with stenosis.

OP07.06: Selective feticide in monochronic twin pregnancies using fetoscopy‐guided bipolar cord coagulation

OP07.06: Selective feticide in monochronic twin pregnancies using fetoscopy‐guided bipolar cord coagulation

High-Frequency Bipolar Coagulation Limits Epidural Fibrosis in Lumbar Microdiscectomy.

We propose a vast study to examine the effect of high-frequency bipolar coagulation used in the operating room to prevent the development of epidural fibrosis after lumbar microdiscectomy. A total of 1004 participants were divided into two groups: no high-frequency bipolar coagulation (NC group) and high-frequency bipolar coagulation (C group). Postoperative epidural fibrosis, infection rates, reoperation status, and dural injury complications during the operation were recorded. Considering the epidural fibrosis rates of the two groups, epidural fibrosis was seen in 10.6% of the patients in the NC group. In contrast, it was seen in only 6.2% of the patients in the C group. The complication of epidural fibrosis that develops after lumbar microsurgery operations both impairs patient comfort and brings with it the complications of reoperation. After performing hemostasis with bipolar, coagulating the annulus may effectively reduce epidural fibrosis and prevent reoperation.

Effect of Laparoscopic Suturing versus Bipolar Coagulation on Ovarian Reserve in Patients Undergoing Endometriotic Ovarian Cystectomy. A Randomized Controlled Trial

Background Women enter menarche with approximately 500000 primordial follicles, which slowly drop in number throughout their reproductive lifetimes. Aim of the Work to determine which hemostatic procedure (hemostatic suture or electrocautery) may be less harmful after laparoscopic cystectomy, based on the status of the ovarian reserve. Patients and Methods The study was conducted at Ain Shams University Maternity Hospital, Obstetric and Gynecology Department, Faculty of medicine. The study population comprised females in childbearing period undergone laparoscopic endometriotic ovarian cystectomy at Ain Shams University Maternity Hospital, Obstetric and Gynecology Department, Faculty of medicine. Results There was no statistically significant difference found between the two studied groups regarding AMH, AFC and FSH preoperative with p-value = 0.188, 0.533 and 0.812 respectively. While there was statistically significant increase in AMH and AFC in suturing group than cautery group postoperative with p-value &amp;lt; 0.001 and 0.005 respectively and also statistically significant decrease in FSH in suturing group than cautery group postoperative with p-value 0.004. Results of this study showed that there was statistically significant increase in the percentage of change of FSH in cautery group (61.59 ± 39.29) than suturing group (23.46 ± 17.87) with p-value &amp;lt; 0.001 while there was statistically significant lower rate of change in AFC and AMH in suturing group than cautery group with p-value = 0.001 and &amp;lt; 0.001 respectively. Conclusion laparoscopic cystectomy reduces the ovarian reserve, which is more affected by hemostatic electrocoagulation than hemostatic sutures.

Retracted: The Effect of High-Quality Nursing Management on Thyroid Tumor Patients after Bipolar Coagulation.

[This retracts the article DOI: 10.1155/2022/1035971.].

Hemostasis in a giant intraventricular tumor using a saline-cooled radiofrequency bipolar coagulator: technical note.

Meningiomas are relatively rare in children and tend to be intraventricular and cystic, with often malignant behavior. Complete excision is associated with the most favorable outcome; moreover, the size and extent of these lesions often make complete excision in one step impossible because of the risk of intraoperative death from uncontrollable hemorrhage. A 10-year-old girl was admitted for headache in the last 3months and was found to have a giant left intraventricular lesion with a volume of 166.63 cm3, which caused hydrocephalus and significant mass effect. Very large draining veins were evident within the tumor, draining into the thalamostriates and internal cerebral veins. Cerebral angiography showed multiple feeders originating mainly from branches of the posterior left choroidal artery with distal afferents that could not be embolized. Therefore, a left parietal transcortical approach was chosen. Given the vascularity of the tumor, saline-cooled radiofrequency coagulation (Aquamantys®) was used to reduce blood loss intraoperatively. Gross total resection (GTR) was achieved with an estimated blood loss of 640mL. Pathology analysis was consistent with WHO grade 1 transitional meningioma. Postoperatively, the patient was neurologically intact, and MRI confirmed complete resection. Aquamantys® is a novel bipolar coagulation device that employs a new bipolar coagulation technique combining radiofrequency energy and saline to achieve hemostatic sealing by denaturing collagen fibers. This offers the possibility of achieving adequate hemostasis even in giant intraventricular tumors in infants to obtain GTR resection with minimal blood loss.