Dural suturing for repair of cerebrospinal fluid leak in transnasal transsphenoidal surgery

2009 ◽  
Vol 151 (11) ◽  
pp. 1427-1430 ◽  
Author(s):  
Hiroshi Nishioka ◽  
Hitoshi Izawa ◽  
Yukio Ikeda ◽  
Hiroaki Namatame ◽  
Shinjiro Fukami ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Transsphenoidal Surgery ◽  
Cerebrospinal Fluid Leak ◽  
Dural Suturing ◽  
Fluid Leak

scholarly journals Drainage or Packing of the Sella? Transsphenoidal Surgery for Primary Pituitary Abscess: Report of Two Cases

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Soichi Oya ◽  
Junichiro Kumai ◽  
Taku Shigeno
Keyword(s):  
Cerebrospinal Fluid ◽  
Transsphenoidal Surgery ◽  
Sella Turcica ◽  
Cerebrospinal Fluid Leak ◽  
Anterior Wall ◽  
Rare Clinical Entity ◽  
Pituitary Abscess ◽  
Abscess Drainage ◽  
Postoperative Course ◽  
Fluid Leak

The detailed surgical procedure of the transsphenoidal surgery for pituitary abscess has scarcely been described previously because it is a very rare clinical entity. The authors reported two cases of primary pituitary abscess. In case 1, the anterior wall of the sella turcica was reconstructed with the vomer bone after irrigating the abscess cavity, but the sella was not packed by fat for fear of the persistent infection by devascularized tissues. This led to the postoperative meningocele, the cerebrospinal fluid leak, and bacterial meningitis despite the successful abscess drainage. In case 2, tight sellar packing and reconstruction of the sellar wall were performed to avoid these postoperative complications, which resulted in complete drainage and uneventful postoperative course. Although accumulation of more cases is obviously needed to establish the definitive surgical technique in pituitary abscess surgery, our experience might suggest that packing of the sella is not impeditive for postoperative sufficient drainage.

scholarly journals Bone morphogenetic protein in the repair of cerebrospinal fluid leak after transsphenoidal surgery

2019 ◽  
Vol 14 (2) ◽  
pp. 607 ◽  
Author(s):  
Dejan Slavnic ◽  
RichardFloyd Cook ◽  
Matthew Bahoura ◽  
Gijong Paik ◽  
DorisWL Tong ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Bone Morphogenetic Protein ◽  
Transsphenoidal Surgery ◽  
Cerebrospinal Fluid Leak ◽  
Morphogenetic Protein ◽  
Fluid Leak
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