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Titolo:
Easy sellar reconstruction in endoscopic endonasal transsphenoidal surgerywith polyester-silicone dural substitute and fibrin glue: Technical note
Autore:
Cappabianca, P; Cavallo, LM; Mariniello, G; de Divitiis, O; Romero, AD; de Divitiis, E;
Indirizzi:
Univ Naples Federico II, Dept Neurosurg, I-80131 Naples, Italy Univ NaplesFederico II Naples Italy I-80131 surg, I-80131 Naples, Italy Univ Messina, Dept Neurosurg, Messina, Italy Univ Messina Messina ItalyUniv Messina, Dept Neurosurg, Messina, Italy Consultorio Medico Integrado, Porto Alegre, RS, Brazil Consultorio Medico Integrado Porto Alegre RS Brazil o Alegre, RS, Brazil
Titolo Testata:
NEUROSURGERY
fascicolo: 2, volume: 49, anno: 2001,
pagine: 473 - 475
SICI:
0148-396X(200108)49:2<473:ESRIEE>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
PITUITARY SURGERY;
Keywords:
endoscopy; fibrin sealant; pituitary adenoma; transsphenoidal surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Cappabianca, P Univ Naples Federico II, Dept Neurosurg, Via S Pansini 5, I-80131 Naples, Italy Univ Naples Federico II Via S Pansini 5 Naples Italy I-80131
Citazione:
P. Cappabianca et al., "Easy sellar reconstruction in endoscopic endonasal transsphenoidal surgerywith polyester-silicone dural substitute and fibrin glue: Technical note", NEUROSURGER, 49(2), 2001, pp. 473-475

Abstract

OBJECTIVE: To describe a simple method of sellar reconstruction after endoscopic endonasal transsphenoidal surgery that will allow rapid watertight closure of the sellar floor. METHODS: A bent sheet of a polyester-silicone dural substitute, fashioned for this purpose with scissors, is introduced into the sella after removal of the lesion. Because of the consistency of the sheet, it opens spontaneously and becomes stuck. Autologous fat tissue or gelatin foam is positioned thereafter, followed by another layer of the dural substitute; a film of fibrin glue completes the sealing. RESULTS: Fifteen patients underwent this method and no postoperative cerebrospinal leak or other complication was experienced. CONCLUSION: This easy method of sellar reconstruction represents an effective and fast possibility to perform the final step of the endoscopic transsphenoidal procedure, which otherwise may cause maneuverability problems in the limited space of one nostril.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 08:04:09