Artikel
Rapid closure technique in suboccipital decompression
Rapid Closure Technik in suboccipitaler Dekompression
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Veröffentlicht: | 4. Juni 2021 |
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Gliederung
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Objective: Aim of this study was to examine the differences between fibrin sealant patch and dural reconstruction in suboccipital decompression for acute mass-effect lesions.
Methods: We retrospectively analyzed data of patients who underwent suboccipital decompression due to spontaneous cerebellar hemorrhage, cerebellar infarction and acute traumatic subdural hematoma between 2010 and 2019 at our institution. Two different dural reconstruction techniques were performed according to the attending neurosurgen: 1) fibrin sealant patch (FSP) and 2) dural reconstruction (SR) including the use of dural patch. Complications, operation time, functional outcome and the necessity of venticuloperitoneal shunting were assessed and further analyzed.
Results: Overall, 87 patients were treated at the author´s institution (44 in the FPS group and 43 in the SR group). Glasgow coma scale on admission and preoperative coagulation state did not differ between the groups. Moreover, we found no difference in cerebrospinal fluid leakage or chronic hydrocephalus rates between the groups (p=0.47). Revision rates were 2.27% (1/44 patients) in the FPS group, compared to 16.27% (7/43) in the SR group (p<0.023). Operation time was significantly shorter in the FPS group (90.3 ± 31.0 min vs. 199.0 ± 48.8 min, p < 0.0001).
Conclusion: Rapid closure technique in suboccipital decompression was associated with low postoperative complication and shorter operation time.