Background:In neurosurgery,the necessity of having a drainage tube is controversial.Subgaleal fluid collection(SFC)often occurs,especially in a craniotomy near the“parietal site”.This study aimed to reassess the ben...Background:In neurosurgery,the necessity of having a drainage tube is controversial.Subgaleal 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 site.Methods:A retrospective review was conducted on 63 consecutive patients who underwent a craniotomy near the parietal site.The patients were divided into two groups according to different period.The 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 analysed.Results:Three patients(11.5%,26)in DG and 20 patients(54.1%,37)in NDG presented with SFC(p<0.05).One patient(3.8%)in DG and three patients(8.1%)in NDG presented with subdural tensile hydrops(STH)(p>0.05).Six developed an infection in NDG(four intracranial infections,one abscess,one pulmonary infection),while none in DG(p>0.05)developed infection.Three(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(p<0.05).The average temperature(37.4°C vs 37.6°C,p>0.05),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 analysed.Conclusion: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.展开更多
文摘Background:In neurosurgery,the necessity of having a drainage tube is controversial.Subgaleal 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 site.Methods:A retrospective review was conducted on 63 consecutive patients who underwent a craniotomy near the parietal site.The patients were divided into two groups according to different period.The 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 analysed.Results:Three patients(11.5%,26)in DG and 20 patients(54.1%,37)in NDG presented with SFC(p<0.05).One patient(3.8%)in DG and three patients(8.1%)in NDG presented with subdural tensile hydrops(STH)(p>0.05).Six developed an infection in NDG(four intracranial infections,one abscess,one pulmonary infection),while none in DG(p>0.05)developed infection.Three(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(p<0.05).The average temperature(37.4°C vs 37.6°C,p>0.05),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 analysed.Conclusion: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.
