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http://dx.doi.org/10.3340/jkns.2013.54.4.336

Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection  

Choi, Won Ho (Department of Neurosurgery, Konkuk University Medical Center)
Moon, Chang Taek (Department of Neurosurgery, Konkuk University Medical Center)
Koh, Young-Cho (Department of Neurosurgery, Konkuk University Medical Center)
Chun, Young Il (Department of Neurosurgery, Konkuk University Medical Center)
Cho, Joon (Department of Neurosurgery, Konkuk University Medical Center)
Song, Sang Woo (Department of Neurosurgery, Konkuk University Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.4, 2013 , pp. 336-339 More about this Journal
Abstract
Objective : Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent postoperative subgaleal CSF collection. Methods : Galeal tack-up suture consists of various surgical techniques which aim to fix galea to cranium in order to prevent CSF pooling in subgaleal space. A total of 87 patients who underwent craniotomy were divided into two groups while closing the wound : group A with galeal tack-up suture and group B with routine wound closure without galeal tack-up suture. The patients were observed for postoperative subgaleal CSF collection. Results : Among 87 cranitomy cases, galeal tack-up suture was performed in 32 cases and routine wound closure was done in 55 cases. Postoperative subgaleal CSF collection occurred in 13 cases (15%) in which 12 cases occurred in group B patients and 1 case occurred in group A patients (p=0.026). Conclusion : Galeal tack-up suture is an easy and effective technique in wound closure to prevent postoperative CSF collection.
Keywords
Cerebrospinal fluid leak; Craniotomy; Scalp; Sutures;
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Times Cited By KSCI : 1  (Citation Analysis)
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