Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: technical note
| Autor: | Carolyn M. Carey, S. Parrish Winesett, Scott J. Raffa, William W. Nelson, Gerald F. Tuite |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Drug Resistant Epilepsy Hemispherectomy medicine.medical_treatment Blood Loss Surgical 03 medical and health sciences Primary repair 0302 clinical medicine Absorbable Implants Enterobacter cloacae medicine Humans Surgical Wound Infection Sinus (anatomy) Device Removal business.industry Enterobacteriaceae Infections Infant Technical note General Medicine Surgical Instruments Hemostatic technique Cerebral Sinus Surgery Posterior segment of eyeball medicine.anatomical_structure 030220 oncology & carcinogenesis business Superior Sagittal Sinus Intracranial Hemorrhages 030217 neurology & neurosurgery Superior sagittal sinus |
| Zdroj: | Journal of neurosurgery. Pediatrics. 18(4) |
| ISSN: | 1933-0715 |
| Popis: | Profuse bleeding originating from an injured cerebral sinus can be a harrowing experience for any surgeon, particularly during an operation on a young child. Common surgical remedies include sinus ligation, primary repair, placement of a hemostatic plug, and patch or venous grafting that may require temporary stenting. In this paper the authors describe the use of a contoured bioresorbable plate to hold a hemostatic plug in place along a tear in the inferomedial portion of a relatively inaccessible part of the posterior segment of the superior sagittal sinus in an 11-kg infant undergoing hemispherotomy for epilepsy. This variation on previously described hemostatic techniques proved to be easy, effective, and ultimately lifesaving. Surgeons may find this technique useful in similar dire circumstances when previously described techniques are ineffective or impractical. |
| Databáze: | OpenAIRE |
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