Transsphenoidal pituitary surgery: comparison of two sellar reconstruction techniques and their effect on postoperative cerebrospinal fluid leakage

2018 ◽  
Vol 41 (4) ◽  
pp. 1053-1058 ◽  
Author(s):  
Patrick Schuss ◽  
Alexis Hadjiathanasiou ◽  
Dietrich Klingmüller ◽  
Ági Güresir ◽  
Hartmut Vatter ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Pituitary Surgery ◽  
Cerebrospinal Fluid Leakage ◽  
Fluid Leakage ◽  
Transsphenoidal Pituitary Surgery ◽  
Sellar Reconstruction

Management of intra-operative cerebrospinal fluid leak following endoscopic trans-sphenoidal pituitary surgery

2010 ◽  
Vol 125 (3) ◽  
pp. 311-313 ◽  
Author(s):  
C G L Hobbs ◽  
A Darr ◽  
W V Carlin
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leak ◽  
Pituitary Surgery ◽  
Gelatin Sponge ◽  
Cerebrospinal Fluid Leakage ◽  
Fluid Leakage ◽  
Cerebrospinal Fluid Leaks ◽  
Low Incidence ◽  
Fluid Leak

AbstractObjective:Cerebrospinal fluid leakage is the most common complication of endoscopic trans-sphenoidal pituitary surgery. However, there is no uniformly accepted way of managing this complication when it occurs intra-operatively. This paper describes a quick, simple technique, involving layered fibrin glue and gelatin sponge, which does not compromise post-operative patient follow up.Method:Retrospective review of all endoscopic pituitary surgery cases conducted at a single institution since the introduction of this technique in 2002.Results:A total of 120 endoscopic pituitary operations were performed (96 primary procedures and 24 revisions). All intra-operative cerebrospinal fluid leaks were managed using the described method, with a failure rate of 3.6 per cent. The overall post-operative leakage rate was 1.7 per cent.Conclusion:This simple, conservative technique avoids the need for further dissection and the use of non-absorbable foreign material, and has a low incidence of post-operative cerebrospinal fluid leakage.

Algorithm for Sellar Reconstruction following Transsphenoidal Pituitary Surgery: A Review of 342 Cases

2019 ◽  
Author(s):  
Swar Chaskes ◽  
Mark Chaskes ◽  
Gurston Nyquist ◽  
Mindy Rabinowitz ◽  
Ethan Moritz ◽  
...  
Keyword(s):  
Pituitary Surgery ◽  
Transsphenoidal Pituitary Surgery ◽  
Sellar Reconstruction

Preventive Management of Cerebrospinal Fluid Leakage in Translabyrinthine Surgery

1996 ◽  
Vol 106 (5) ◽  
pp. 610-613 ◽  
Author(s):  
Lance R. Meyerson ◽  
Edwin M. Monsell ◽  
Jack P. Rock
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leakage ◽  
Fluid Leakage

Cerebrospinal Fluid Leakage After Lumbar Puncture in Neonates: Incidence and Sonographic Appearance

2003 ◽  
Vol 181 (1) ◽  
pp. 231-234 ◽  
Author(s):  
Ursula Kiechl-Kohlendorfer ◽  
Karin Maria Unsinn ◽  
Barbara Schlenck ◽  
Rudolph Trawöger ◽  
Ingmar Gaßner
Keyword(s):  
Cerebrospinal Fluid ◽  
Lumbar Puncture ◽  
Cerebrospinal Fluid Leakage ◽  
Sonographic Appearance ◽  
Fluid Leakage
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