Hani Ummey, Aziz Hafiza Fatima, Shamim Muhammad Shahzad
The Aga Khan University Hospital, Karachi, Pakistan.
Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2020 Aug;70(8):1470-1472.
Dural closure at the end of cranial surgery is considered an extremely important step to maintain anatomical continuity, separate the intradural space with the extradural one, and to prevent possible complications related to cerebrospinal fluid leak. Wherein its usefulness in posterior fossa craniotomy is established, many surgeons do not perform it routinely in supratentorial craniotomies, citing unnecessary delay and lack of evidence supporting it. Herein, we have reviewed the data to find evidence in support of watertight suture based dural closures compared to other dural closure techniques, in supratentorial craniotomies.
在颅脑手术结束时进行硬脑膜缝合被认为是维持解剖连续性、将硬膜内空间与硬膜外空间分隔开以及预防与脑脊液漏相关的可能并发症的极其重要的步骤。尽管其在后颅窝开颅手术中的作用已得到确立，但许多外科医生在幕上开颅手术中并不常规进行硬脑膜缝合，理由是会造成不必要的延误且缺乏支持证据。在此，我们回顾了相关数据，以寻找在幕上开颅手术中支持基于水密缝合的硬脑膜缝合优于其他硬脑膜缝合技术的证据。
