Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection
Autor: | Joon Cho, Young Il Chun, Young-Cho Koh, Chang Taek Moon, Sang Woo Song, Won Ho Choi |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Subgaleal space Clinical Article Scalp Cerebrospinal fluid leak biology Sutures business.industry General Neuroscience medicine.medical_treatment Cerebrospinal fluid collection medicine.disease biology.organism_classification Surgery Cerebrospinal fluid Suture (anatomy) Galea medicine Neurology (clinical) Neurosurgery business Craniotomy |
Zdroj: | Journal of Korean Neurosurgical Society |
ISSN: | 1598-7876 2005-3711 |
Popis: | OBJECTIVE: Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent postoperative subgaleal CSF collection. METHODS: Galeal tack-up suture consists of various surgical techniques which aim to fix galea to cranium in order to prevent CSF pooling in subgaleal space. A total of 87 patients who underwent craniotomy were divided into two groups while closing the wound : group A with galeal tack-up suture and group B with routine wound closure without galeal tack-up suture. The patients were observed for postoperative subgaleal CSF collection. RESULTS: Among 87 cranitomy cases, galeal tack-up suture was performed in 32 cases and routine wound closure was done in 55 cases. Postoperative subgaleal CSF collection occurred in 13 cases (15%) in which 12 cases occurred in group B patients and 1 case occurred in group A patients (p=0.026). CONCLUSION: Galeal tack-up suture is an easy and effective technique in wound closure to prevent postoperative CSF collection. |
Databáze: | OpenAIRE |
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