Neuroendoscopic surgeries need specialized equipments, unavailable in neurosurgical departments of majority of public healthcare institutions of India. Author describes an indigenously designed stainless steel neuroendoscopic working sheath for intraventricular neuroendoscopic surgeries. Eighteen cm stainless steel tube of 6.5 mm internal and 7 mm outer diameters was used to make the working sheath. Two working channels of 2 cm each with 4mm outer diameters allow flexible catheters or instruments for surgery. A 20 cm SS tube, tube stylet of OD of 6.5 mm is used as co-axial Stylet which accommodates 1.5 mm thick SS rigid wire of 20 cm length with a SS button like head, so that the wire stylet closes the opening of the tube stylet flush at its end. Luer Lock Cap with rubber diaphragm of central venous lines, routinely used by anaesthetists, fits snugly to the side channels, through which various catheters or flexible instruments are passed for surgery. Three way stop plug/luer lock valve, used for intravenous infusions, fits into the side channels and is used for irrigation by ringer lactate solution during surgery. Rigid telescope of 18 cm length with a rubber gasket makes the whole system watertight during surgery. We conclude that indigenous innovations are the way ahead to tackle resource scarcity in public sector healthcare institutions of India in the scenario of plenty of neuroendoscopic trainings opportunities for young neurosurgeons and paucity of equipments required.
