Application of free fascia lata for dura mater reconstruction in the treatment of the refractory intracranial infection after craniotomy
10.3969/j.issn.1002-0152.2024.11.002
- VernacularTitle:游离阔筋膜用于开颅术后顽固颅内感染硬脑膜修复重建
- Author:
Linhua YIN
1
;
Mingsheng WANG
;
Feng ZHANG
;
Zijun XU
;
Tao ZENG
Author Information
1. 张家港第二人民医院神经外科,张家港 215600
- Publication Type:Journal Article
- Keywords:
Surgical site infection;
Intracranial infection;
Multiple resistant bacteria;
Fascia lata;
Reconstruction;
Dura mater
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(11):650-654
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the application of free fascia lata in reconstructive surgery for patients with refractory intracranial infection after craniotomy. Methods A retrospective analysis was performed for the clinical data,treatment details,results,and follow-up of 22 patients with refractory intracranial infection caused by drug-resistant bacteria treated with free fascia lata. Results Twenty-two patients were included in the cohort. All these patients underwent salvage surgery,including removal of the artificial alien dura mater and achievement of complete dura seal with free fascia lata. Immediate infection curation was achieved in 21 patients. In-hospital death occurred in 3 patients with other complications,of them,a patient whose infection curation was not achieved when he died from massive intracerebral hemorrhage 1 week after reconstruction surgery. During a period of 13-86 month follow-up,the surviving patients remained free of infection recurrence. Conclusion Free fascia lata repair can serve as a more straightforward but effective option for dura mater reconstruction,even in the setting of a severe septic area caused by multiple drug-resistant bacteria.
