Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Usefulness of an Additional Mattress Suture for the Extracranial Drainage Catheter

  • Eom, Dong Woong (Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jung Soo (Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Jeon, Kyoung Dong (Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hoon (Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Choi, Byeong Sam (Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2013.07.03
  • Accepted : 2013.09.30
  • Published : 2013.11.28
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Abstract

In most intracranial surgery cases, a drain catheter is inserted to prevent the collection of the wound hematoma or seroma. A drain catheter is also inserted to drain the hematoma or the cerebrospinal fluid. The drain catheter itself does not cause complications; but many complications occur during its removal, such as hematoma, seroma, air collection and pseudomeningocele formation. To prevent these complications, neurosurgeons perform a suture on the catheter to remove the site. In this study, an additional horizontal mattress suture and an anchoring suture to the drainage catheter are proposed. This method maintains negative pressure in the catheter insertion site during the catheter removal, compresses the catheter tunnel site and attaches the external wounds strongly. The technique is easy and safe to perform, and does not require an additional suture to remove the catheter.

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References

  1. Cabantog AM, Bernstein M : Complications of first craniotomy for intra-axial brain tumour. Can J Neurol Sci 21 : 213-218, 1994 https://doi.org/10.1017/S0317167100041184
  2. Fukamachi A, Koizumi H, Nagaseki Y, Nukui H : Postoperative extradural hematomas: computed tomographic survey of 1105 intracranial operations. Neurosurgery 19 : 589-593, 1986 https://doi.org/10.1227/00006123-198610000-00013
  3. Kadowaki C, Hara M, Numoto M, Takeuchi K, Saito I : CSF shunt physics: factors influencing inshunt CSF flow. Childs Nerv Syst 11 : 203-206, 1995 https://doi.org/10.1007/BF00277654
  4. Lavano A, Benvenuti D, Volpentesta G, Donato G, Marotta R, Zappia M, et al. : Symptomatic tension pneumocephalus after evacuation of chronic subdural haematoma : report of seven cases. Clin Neurol Neurosurg 92 : 35-41, 1990 https://doi.org/10.1016/0303-8467(90)90005-P
  5. Liu L, Shen H, Zhang F, Wang JH, Sun T, Lin ZG : Stereotactic aspiration and thrombolysis of spontaneous intracerebellar hemorrhage. Chin Med J (Engl) 124 : 1610-1615, 2011
  6. Lozier AP, Sciacca RR, Romagnoli MF, Connolly ES Jr : Ventriculostomy-related infections: a critical review of the literature. Neurosurgery 51 : 170-181; discussion 181-182, 2002 https://doi.org/10.1097/00006123-200207000-00024
  7. Meguro T, Terada K, Hirotsune N, Nishino S, Asano T : Postoperative extradural hematoma after removal of a subgaleal drainage catheter--case report. Neurol Med Chir (Tokyo) 47 : 314-316, 2007 https://doi.org/10.2176/nmc.47.314
  8. Park YG, Woo HJ, Kim E, Park J : Accuracy and safety of bedside external ventricular drain placement at two different cranial sites : Kocher's Point versus Forehead. J Korean Neurosurg Soc 50 : 317-321, 2011 https://doi.org/10.3340/jkns.2011.50.4.317
  9. Winston KR : Dural tenting sutures in pediatric neurosurgery. Pediatr Neurosurg 28 : 230-235, 1998 https://doi.org/10.1159/000028656
  10. Winston KR : Efficacy of dural tenting sutures. J Neurosurg 91 : 180-184, 1999 https://doi.org/10.3171/jns.1999.91.2.0180
  11. Yu GJ, Han CZ, Zhang M, Zhuang HT, Jiang YG : Prolonged drainage reduces the recurrence of chronic subdural hematoma. Br J Neurosurg 23 : 606-611, 2009 https://doi.org/10.3109/02688690903386983