| Literature DB >> 32500002 |
Herbert Daniel Jiménez Zapata1, Víctor Rodríguez Berrocal1, Carlos Vior Fernández1, Franklin Mariño Sánchez2, Alfredo García Fernández3.
Abstract
This report introduces a new closure technique for the management of intraoperative cerebrospinal fluid (CSF) leakage during endoscopic endonasal surgery. The procedure is based on the combination of a traditional autologous tissue flap with a heterologous fibrin graft (TachoSil). We performed a retrospective analysis on 121 patients with pituitary adenomas treated in our center by the senior neurosurgeon (author V.R.B) in the previous 4 years. Only one patient (0.8%) developed a CSF leakage and no adverse events were found related to the use of TachoSil. Compared with other techniques used previously, sellar diaphragm reconstruction with TachoSil seems to be an effective and inexpensive alternative. © Thieme Medical Publishers.Entities:
Keywords: CSF leakage; endoscopic endonasal surgery; pituitary adenomas; sellar diaphragm
Year: 2019 PMID: 32500002 PMCID: PMC7253299 DOI: 10.1055/s-0039-1688781
Source DB: PubMed Journal: J Neurol Surg B Skull Base ISSN: 2193-634X