Frequency of CSF Leak after Primary Repair of Incidental Durotomy in Lumbar Spine Surgery with use of Fibrin Glue
نویسندگان
چکیده
Aim: To find the frequency of CSF leakage after primary repair incidental durotomy in lumbar spine surgery with use fibrin glue. Study Design: Descriptive case series. Place and duration study: Neurosurgery Unit 2, Punjab Institute Neurosciences, Lahore General Hospital, from 25-02-2021 to 25-08-2021. Methodology: Sixty five patients admitted for informed written consent was taken. All cases were operated elective operation theatre. Valsalva maneuver performed per-operatively all assess leakage. In having diagnosed per-operatively, Prolene 4-0 done sealed fribrin Patients examined on daily basis no complication, patient discharged day 07 surgery. clinical examination, MRI done. After discharge, followed OPD weekly 30 days. leak as per operational definition. Results: Total 65 patients, 41(63.1%) age group 16-40 years 187(36.9%) 41-75 mean calculated 38.93±11.47 years. There 44(67.7%) male whereas 21(32.2%) females. Frequency 9(13.8%) Practical Implication: We found that 13.8% The rate is low. Therefore, we concluded glue useful treatment lumber Conclusion: This study showed 13.8%. As Keywords: Cerebrospinal Fluid Leak, Incidental Durotomy, Lumbar Spine Surgery.
منابع مشابه
Incidental durotomy in spine surgery.
STUDY DESIGN Retrospective review of a large series of patients who underwent spinal surgery at a single institution during a 10-year period. OBJECTIVES To further clarify the frequency of incidental durotomy during spine surgery, its treatment, associated complications, and results of long-term clinical follow-up. SUMMARY OF BACKGROUND DATA Incidental durotomy is a relatively common occurr...
متن کامل[The use of fibrin glue for the repair of experimental nasal CSF leak in rats].
Surgical repair of cerebrospinal fluid (CSF) leak requires the production of a seal competent to resist CSF pressure during the period of healing. Direct suturing, packing with muscle and fat grafts, and coverage with mucosal or muscle flaps have been effective in repairing most CSF leaks. Fibrin glue will improve the results of a CSF leak repair by providing better adhesion of the graft and im...
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Study Design Retrospective chart review. Objective Postoperative cerebrospinal fluid (CSF) leak is a known complication of intraoperative durotomy. Intraoperative placement of subfascial epidural drains following primary dural repair has been proposed as a potential management strategy to prevent formation of CSF cutaneous fistula and symptomatic pseudomeningocele. Here we describe our experien...
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ژورنال
عنوان ژورنال: Pakistan Journal of Medical and Health Sciences
سال: 2023
ISSN: ['1996-7195']
DOI: https://doi.org/10.53350/pjmhs2023176174