Is Placing Prophylactic Dural Tenting Sutures a Dogma?

Eroğlu, Ümit; Zaimoğlu, Murat; Sayacı, Emre Yağız; Ugur, Hasan Çağlar; Attar, Ayhan; Kahiloğulları, Gökmen; Bozkurt, Melih; Ünlü, Mustafa; Özgüral, Onur; Doğan, İhsan; Seçinti, Kutsal Devrim; Abbasoğlu, Bilal; Erdogan, Koral; Gökalp, Elif; Yakar, Fatih; Çağlar, Yusuf; Cohen-Gadol, Aaron

doi:10.1016/j.wneu.2021.06.131

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…No such loosening was observed in any of our cases during the second surgery and the authors thus propose taking hitch sutures at the completion of the surgery rather than immediately after craniotomy. This view is supported by Eroglu et al 10 , who, in their study challenged prophylactic dural tenting as a dogma in neurosurgery and concluded that fewer complications were indeed observed when dural hitch sutures were placed during post-surgical closure. This timing aids in recognizing a hematoma which might have started to develop intra-operatively as early hitch sutures obliterate the view across the limits of craniotomy.…”

Section: Discussionmentioning

confidence: 81%

Remote extradural hematoma after supratentorial brain tumor surgery: A rare complication of a routine surgery

Punia

Chugh²,

Gotecha³

2021

Nep J Neurosci

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Background: Hemorrhages in the surgical cavity post resection of tumor aren’t uncommon and neurosurgeons are well versed with this entity, however occurrence of an Extra Dural Hematoma(EDH), that too at a site remote to the surgical cavity, is rare. The study presents 3 cases of post operative remote site EDH after tumor resection with review of literature and an attempt to define and discuss the variables which play a role in determining the occurrence, extent and prognosis of the same. Methods: The study investigated 601 patients who underwent tumor resection in the Department of Neurosurgery, Dr D Y Patil Hospital, from January 2017 to December 2019. All patients had a normal coagulation profile preoperatively. Postoperative remote EDH occurred in 3 patients whose data was examined closely in terms of age, sex, location, final diagnosis and treatment. Results: Of the 601 patients who underwent tumor resection from Jan 2017 to Dec 2019, a total of 3 patients in our study were found to have a post-operative remote site EDH. Two of these patients were male and 1 female. The age range was 35 to 46 years with a mean of 41 years. Neither did any of these patients have a pre-existing hydrocephalus nor were they subjected to a CSF diversion procedure preoperatively. All 3 patients developed EDH on the ipsilateral side wherein 2 of our patients had a hematoma in the ipsilateral frontal region anterior to the surgical cavity while 1 patient developed hematoma in ipsilateral parietal region posterior to surgical cavity. Hematomas were unilateral with no extension to opposite side. Two patients had to be re-operated in an emergency setting while one patient was conservatively managed. Conclusion: In patients with an expected volume loss via large tumor size, excess blood and CSF loss and a large craniotomy, remote EDH may develop and the neurosurgeon must have a high index of suspicion for this entity

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Section: Discussionmentioning

confidence: 81%

Remote extradural hematoma after supratentorial brain tumor surgery: A rare complication of a routine surgery

Punia

Chugh²,

Gotecha³

2021

Nep J Neurosci

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“…The use of DTS in hemostasis is an important technique, which can lead to unnecessary complications if they are placed before opening of the dura. In elderly patients, subdural hygromas may occur after placement of DTS (4). We decided therefore to place DTS after opening the dura and visualizing the brain tissue through a microscope.…”

Section: Discussionmentioning

confidence: 99%

Penetrating head injury caused by a screwdriver

Ilić,

Nikolov,

Djordjević

et al. 2022

roneuro

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Background: Penetrating head injuries (PHI) caused by sharp objects are associated with a high risk of potentially life-threatening complications and are estimated to account for approximately 0.4% of all head injuries. Since not many cases of PHI with a screwdriver have been described in the literature, the treatment of these patients is quite controversial and non-standardized. Therefore, the aim of this paper was to present our experience with treating a patient with a PHI caused by a screwdriver. Case description: The authors present a three-year-old female patient who accidentally sustained a PHI with a screwdriver through the right orbit. A computed tomography scan of the head was performed, which demonstrated the presence of the metal end of a screwdriver in the anterior cranial fossa. The patient underwent emergency surgery and the foreign body was evacuated with the repair of dura and brain injury. The intervention was followed by a complete postoperative recovery without any gross neurological deficits. Follow-up examinations were performed up to three years after the injury, while the patient's condition remained unchanged. Our patient's case supports immediate neurosurgical intervention and removal of a foreign object from the endocranium.

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“…Protein-associated electrothermal adhesion allows you to securely and seamlessly connect DM tissues. The structure and functions of the tissue are not disturbed, and the formed postoperative scar is elastic and non-deforming [3].…”

mentioning

confidence: 99%

Comparison of the Efficiency of the Closure of Defects of Dura Mater With High-Frequency Electric Welding to Traditional Sewing Connection

Zabolotnyi

Zabolotna

Kvasha

2022

GoS

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A comparison of the effectiveness of closure of dura mater defects in the surgical removal of tumors of the frontal sinuses with intracranial snvaiding by methods of high-frequency electric welding of tissues and traditional sutures. A comprehensive assessment of methods by a group of indicators for both direct surgery and rehabilitation period was used. Significant advantages of high-frequency bipolar electric welding in comparison with traditional seam connection are shown.Usage of biological welding contributes to a significant reduction of intra- and postoperative complications, shortening the operation time, reduced duration of postoperative treatment compared to traditional methods.

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Is Placing Prophylactic Dural Tenting Sutures a Dogma?

Cited by 4 publications

References 15 publications

Remote extradural hematoma after supratentorial brain tumor surgery: A rare complication of a routine surgery

Remote extradural hematoma after supratentorial brain tumor surgery: A rare complication of a routine surgery

Penetrating head injury caused by a screwdriver

Comparison of the Efficiency of the Closure of Defects of Dura Mater With High-Frequency Electric Welding to Traditional Sewing Connection

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