Necessity of dural tenting sutures in modern neurosurgery: protocol for a systematic review
| Autor: | Jan Fortuniak, Karol Wiśniewski, Radoslaw Rola, Dariusz Szczepanek, Andrzej Marchel, Przemysław Kunert, Łukasz Przepiórka, Patrycja Larysz, Tomasz Trojanowski, Piotr Ładziński, Jarosław Żyłkowski, Dariusz J. Jaskólski |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Hematoma
Epidural Cranial medicine.medical_specialty extradural hematoma medicine.medical_treatment education Psychological intervention Neurosurgery Postoperative Hemorrhage medicine Protocol Humans Medical journal Craniotomy Protocol (science) business.industry General surgery Suture Techniques craniotomy General Medicine Systematic review Evidence Based Practice dural tenting sutures Research Design Dura Mater business Systematic Reviews as Topic |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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