Iatrogenic ex vacuo subdural hygroma: and a complication of the modified "Poppen" suture.

Jha, Anil Kumar; Morris, Keith

doi:10.1136/jnnp.49.9.1084

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Subdural hygromas and hematomas developing after surgery are an important neurosurgical entity. 16 An expected but striking result was the greater rate of subdural hygromas in group 1. Even in very skillful and experienced hands, placing dural tenting sutures without actually visualizing the underlying cortex can result in cortical or dural bridging vein damage.…”

Section: Discussionmentioning

confidence: 92%

Is Placing Prophylactic Dural Tenting Sutures a Dogma?

et al. 2021

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Section: Discussionmentioning

confidence: 92%

Is Placing Prophylactic Dural Tenting Sutures a Dogma?

et al. 2021

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“…Moreover, the sutures may potentially increase the risk of adverse effects, such as cerebrospinal fluid (CSF) leak and damage to cortical matter or blood vessels with subsequent subdural or intracerebral haemorrhage. There have also been several reports of more unusual complications like subdural hygroma,7 granuloma8 or pial arteriovenous fistula 9. Thus, refraining from dural tenting sutures would shorten the surgery and reduce the operative risk.…”

Section: Study Rationalementioning

confidence: 99%

Necessity of dural tenting sutures in modern neurosurgery: protocol for a systematic review

et al. 2019

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IntroductionThe ongoing need for dural tenting sutures in a contemporary neurosurgical practice has been questioned in the literature for over two decades. In the past, these sutures were supposed to prevent blood collecting in the potential space between the skull and the dura by elevating the latter. Theoretically, with modern haemostasis and proper postoperative care, this technique should not be necessary and the surgery time can be shortened. Unfortunately, there is no evidence-based proof to either support or reject this hypothesis.Methods and analysisThe systematic review will be performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and The Cochrane Handbook for Systematic Reviews of Interventions. Eight electronic databases of peer-reviewed journals will be searched, as well as other sources. Eligible articles will be assessed against inclusion criteria. The intervention is not tenting the dura and this will be compared with the usual dural tenting sutures. Where possible, ‘summary of findings’ tables will be generated.Ethics and disseminationEthical committee approval is not required for a systematic review protocol. Findings will be presented at international neurosurgical conferences and published in a peer-reviewed medical journal.PROSPERO registration numberCRD42018097089.

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