The result of using blood-saving technologies when removing a giant meningioma of the wings of the sphenoid bone: a case report

A. V. Kuligin, A. Lushnikov, A. M. Fisun, A. G. Novikov, O. A. Balatsky, S. N. Shcherbakov, Yu. A. Smirnov, E. A. Lushnikova, N. A. Broyaka, E. E. Zeulina
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Abstract

Neurosurgical operations to remove giant brain tumors, thanks to the development of high-tech operating techniques, are rarely accompanied by massive intraoperative blood loss (especially when removing tumors of glial origin). However, when removing meningiomas characterized by greater variability in location and blood supply, massive intraoperative blood loss may develop. Since May 2023, the State Healthcare Institution «Regional Clinical Hospital» in Saratov, within the framework of interdisciplinary cooperation of services – neuro- and x-ray surgery, anesthesiology-resuscitation and transfusiology, has begun the integrated use of blood-saving technologies in patients during operations to remove giant-brain tumors. The authors present the case of successful use of blood-saving technologies in the coordinated work of the above services to provide surgical treatment of the patient with a giant meningioma of the wings of the sphenoid bone on the left.
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在切除蝶骨翼巨大脑膜瘤时使用血液保存技术的结果:病例报告
由于高科技手术技术的发展,切除巨大脑肿瘤的神经外科手术很少出现术中大量失血的情况(尤其是切除胶质瘤时)。然而,在切除位置和血液供应变化较大的脑膜瘤时,可能会出现术中大量失血的情况。自 2023 年 5 月起,位于萨拉托夫的国家医疗机构 "地区临床医院"(Regional Clinical Hospital)在神经和 X 射线外科、麻醉-复苏和输血科等跨学科合作框架内,开始在切除巨大脑肿瘤的手术中对患者综合使用血液保存技术。作者介绍了在上述部门的协调工作中成功使用血液保存技术对左侧蝶骨翼巨大脑膜瘤患者进行手术治疗的案例。
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