Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection.
10.3340/jkns.2013.54.4.336
- Author:
Won Ho CHOI
1
;
Chang Taek MOON
;
Young Cho KOH
;
Young Il CHUN
;
Joon CHO
;
Sang Woo SONG
Author Information
1. Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea. ctmoon@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Cerebrospinal fluid leak;
Craniotomy;
Scalp;
Sutures
- MeSH:
Cerebrospinal Fluid Rhinorrhea;
Cerebrospinal Fluid*;
Craniotomy;
Hospitalization;
Humans;
Scalp;
Skull;
Sutures*;
Wounds and Injuries
- From:Journal of Korean Neurosurgical Society
2013;54(4):336-339
- CountryRepublic of Korea
- Language:English
-
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.
