British journal of neurosurgery · 2021
Preventing cerebral spinal fluid leakage following endoscopy through a burr hole using a novel watertight closure: technical note.
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Graupman Patrick, Nussbaum Eric S, Patel Puja D
Аннотация
BACKGROUND: Cerebrospinal fluid (CSF) leakage is a common complication after neuroendoscopic surgery through a burr hole and can lead to further complications including infection.
METHODS: We describe the use of a dural substitute larger than the burr hole itself, placed over the burr hole and then secured underneath a burr hole cover by microscrews running through the graft itself into the underlying skull.
RESULTS: This simple technical modification contributes to achieving a watertight seal to aid in preventing CSF leakage in this setting.
CONCLUSIONS: Our technical modification of endoscopy through a burr hole may help to prevent postoperative CSF leak and secondary CSF infections.
METHODS: We describe the use of a dural substitute larger than the burr hole itself, placed over the burr hole and then secured underneath a burr hole cover by microscrews running through the graft itself into the underlying skull.
RESULTS: This simple technical modification contributes to achieving a watertight seal to aid in preventing CSF leakage in this setting.
CONCLUSIONS: Our technical modification of endoscopy through a burr hole may help to prevent postoperative CSF leak and secondary CSF infections.