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72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

06.06. - 09.06.2021

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Rapid closure technique in suboccipital decompression

Rapid Closure Technik in suboccipitaler Dekompression

Meeting Abstract

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  • presenting/speaker Martin Vychopen - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Alexis Hadjiathanasiou - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Mohammed Banat - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Patrick Schuss - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Valeri Borger - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Hartmut Vatter - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Erdem Güresir - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie. sine loco [digital], 06.-09.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocP009

doi: 10.3205/21dgnc297, urn:nbn:de:0183-21dgnc2977

Published: June 4, 2021

© 2021 Vychopen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

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.