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Advantages of using a prophylactic epidural closed drain and non-watertight dura suture in a craniotomy near the“parietal site”

引用

Chinese Neurosurgical Journal 2021年第3期7卷 196-203页

作者： Xin Li Jing Li Jianfei Sui Tuerdialimu Niyazi naibijiang yalikun Shuo Wang Department of Neurosurgery Beijing Tiantan HospitalCapital Medical UniversityNo.119 South 4th Ring West RoadFengtai DistrictBeijing 100070China Department of Operating Room Beijing Tiantan HospitalCapital Medical UniversityNo.119 South 4th Ring West RoadFengtai DistrictBeijing 100070China Depatment of Neurosurgery Hetian District HospitalNo.103 Wenhua RoadHetian DistrictHetian City 848000Xinjiang Uygur Autonomous RegionChina.

Background:In neurosurgery,the necessity of having a drainage tube is *** fluid collection(SFC)often occurs,especially in a craniotomy near the“parietal site”.This study aimed to reassess the benefit of using a prophylactic epidural drainage(ED)and non-watertight dura suture in a craniotomy near the parietal ***:A retrospective review was conducted on 63 consecutive patients who underwent a craniotomy near the parietal *** patients were divided into two groups according to different *** deal group received ED and a non-watertight dura suture(drain group,DG),the control group that did not(non-drain group,NDG).Complications and patient recovery were evaluated and ***:Three patients(11.5%,26)in DG and 20 patients(54.1%,37)in NDG presented with SFC(p0.05).Six developed an infection in NDG(four intracranial infections,one abscess,one pulmonary infection),while none in DG(p>0.05)developed ***(11.5%)cases in DG and one(2.7%)case in NDG had muscle strength that improved postoperatively(p>0.05).Fifteen(57.7%)in DG and 14(37.8%)in NDG had epileptic seizures less frequently postoperatively(p0.05),the maximum temperature(37.9°C vs 38.1°C,p>0.05)on 3 PODs,the postoperative hospital stay day(7.5 days vs 8.0 days,p>0.05),and the postoperative medicine fee(¥29762.0 vs¥28321.0,p>0.05)were ***:In patients who undergo a craniotomy near the parietal site,the prophylactic use of ED and a nonwatertight dura suture helps reduce SFC,infection,and control epilepsy.

关键词： Craniotomy Epidural drainage Suction drainage Complication Subdural tensile hydrops Subgaleal fluid collection Wound infection Intracranial infection

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