Wrapping method for better fat handling in endoscopic trans-sphenoidal surgery.

Surgical neurology international Pub Date : 2024-10-25 eCollection Date: 2024-01-01 DOI:10.25259/SNI_626_2024

Fumihiro Matano, Shigeyuki Tahara, Yujiro Hattori, Yohei Nounaka, Koshiro Isayama, Akira Teramoto, Akio Morita

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Abstract

Background: Fat is commonly used for preventing cerebrospinal fluid (CSF) leakage during endoscopic transsphenoidal surgery (ETSS). However, fat is soft, slippery, and sometimes not easy to handle. The present study aimed to examine the efficacy of our Surgicel^® wrapping method, which allows for better fat handling, in preventing the occurrence of CSF leakage among patients undergoing ETSS.

Methods: We used fat tissues removed from the abdomen. The fat was cut with scissors into pieces that were approximately 5 mm in size. Surgicel^® was also cut into 2.5 cm². The fat tissues were encased with these Surgicel^® squares and slightly moistened with a saline solution.

Results: Between January 2023 and August 2024, 34 patients aged 18-86 years (average 54.9 years) underwent ETSS. Among these patients, 20 had pituitary tumors, 6 had Rathke's cysts, and 8 had other conditions. None of the patients had CSF leakage postoperatively. The use of Surgicel^®-wrapped fat during ETSS is better than the use of fat alone.

Conclusion: The Surgicel^® wrapping method allows for better fat handling during ETSS.

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在内窥镜经蝶窦手术中更好地处理脂肪的包裹方法。

背景：在内窥镜经蝶手术（ETSS）中，脂肪通常用于防止脑脊液（CSF）泄漏。然而，脂肪柔软、滑溜，有时不易处理。我们的 Surgicel® 包裹法能更好地处理脂肪，本研究旨在探讨这种方法在防止 ETSS 患者发生 CSF 泄漏方面的功效：方法：我们使用从腹部取出的脂肪组织。方法：我们使用从腹部取出的脂肪组织，用剪刀将脂肪剪成约 5 毫米大小的小块。Surgicel® 也被剪成 2.5 平方厘米。脂肪组织被这些 Surgicel® 正方形包裹，并用生理盐水稍微湿润：2023 年 1 月至 2024 年 8 月期间，34 名年龄在 18-86 岁（平均 54.9 岁）的患者接受了 ETSS。在这些患者中，20 人患有垂体瘤，6 人患有拉斯克囊肿，8 人患有其他疾病。没有一名患者术后出现 CSF 渗漏。在 ETSS 中使用 Surgicel® 包裹脂肪比单独使用脂肪效果更好：结论：Surgicel® 包裹法能在 ETSS 过程中更好地处理脂肪。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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