{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:05:09Z","timestamp":1753891509140,"version":"3.41.2"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We designed a novel intraoperative malleable adjustable continuous suction tube to obtain clear surgical fields, reduce intracranial pressure, and lower the temperature of the surgical area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This device consists of six parts: continuous suction tube head and cotton patty, suction tube, fixed wire position, fixed clip, spiral plastic pressure regulating valve, and tail. It can continuously extract blood, cerebrospinal fluid, and rinsing solution from surgical fields, with minimal contact and trauma to tissues, nerves, and blood vessels, while also having a negligible impact on the surgeon\u2019s focus and procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The excellent and safe performance (simple, malleable, adjustable, space-saving, inexpensive, safe, and effective) of this device in clearing the operating field has been proven in more than 2000 neurosurgical operative procedures. We encountered no complications associated with this device, such as cerebral hematoma, postoperative low intracranial pressure, or vascular and nerve injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The newly innovated intraoperative malleable adjustable continuous suction tube is effective and safe for microneurosurgery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2023.1333665","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T04:16:51Z","timestamp":1704946611000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Third Hand of Neurosurgeons \u2013 a novel intraoperative malleable adjustable continuous suction tube"],"prefix":"10.3389","volume":"14","author":[{"given":"Jibo","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pan","family":"Nie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zixuan","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengshi","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jincao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"6484","DOI":"10.3390\/jcm12206484","article-title":"The Transorbital approach, a game-changer in neurosurgery: a guide to safe and reliable surgery based on anatomical principles","volume":"12","author":"de Notaris","year":"2023","journal-title":"J Clin Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"E625","DOI":"10.1227\/01.NEU.0000350878.15144.D4","article-title":"Pressure-controlled dual irrigation-suction system for microneurosurgery: technical note","volume":"65","author":"Okada","year":"2009","journal-title":"Neurosurgery"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/BF01809311","article-title":"Pressure-irrigation-suc-tion system. Technical note","volume":"66","author":"Ludecke","year":"1982","journal-title":"Acta Neurochir"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1227\/00006123-199305000-00027","article-title":"Two simple devices for microneurosurgery: automatic drip irrigating needle and a suction retractor","volume":"32","author":"Day","year":"1993","journal-title":"Neurosurgery"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"736","DOI":"10.3171\/jns.1980.52.5.0736","article-title":"Irrigating sucker dissector: technical note","volume":"52","author":"Bleasel","year":"1980","journal-title":"J Neurosurg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.jimed.2022.10.002","article-title":"Management of traumatic peripheral artery pseudoaneurysm: a 10-year experience at a single center","volume":"6","author":"Wang","year":"2022","journal-title":"J Interv Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1016\/j.wneu.2018.09.059","article-title":"Novel malleable continuous suction tube made of ultrathin stainless-steel foil enclosed between 2 ultrafine mesh layers: technical note","volume":"120","author":"Ryu","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1333665\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T04:16:53Z","timestamp":1704946613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1333665\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,11]]},"references-count":7,"alternative-id":["10.3389\/fneur.2023.1333665"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2023.1333665","relation":{},"ISSN":["1664-2295"],"issn-type":[{"type":"electronic","value":"1664-2295"}],"subject":[],"published":{"date-parts":[[2024,1,11]]},"article-number":"1333665"}}