Monday, March 29, 2021

Preventing cerebral spinal fluid leakage following endoscopy through a burr hole using a novel watertight closure: technical note

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Br J Neurosurg. 2021 Mar 29:1-3. doi: 10.1080/02688697.2021.1903392. Online ahead of print.

ABSTRACT

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.

PMID:33779446 | DOI:10.1080/02688697.2021.1903392

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