CRANEOTOMIA TECNICA QUIRURGICA PDF

Técnica quirúrgica. Anestesia general, intubación orotraqueal, decúbito dorsal, con rotación cefálica al lado contrario del dolor, craniectomía asterional de. vol número6 Editorial Craneotomía guiada por ultrasonografía bidimensional para . Tipo III: la misma técnica que en el grupo anterior, pero incluyendo el de los pacientes, los resultados y las complicaciones de cada técnica quirúrgica. de los 30 pacientes (craneotomía – 53,3 %; cranectomía – 3,3 %; reparación de La técnica de la duraplastia con poliesteruretano es sencilla: empleamos.

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El poliesteuretano empleado se extrajo de la poliespuma protectora de las cajas de medicamentos.

La integridad de la duramadre es de gran importancia. Si en una primera instancia no es posible el cierre de la duramadre, entonces se requiere de injertos durales. Incluimos a pacientes que requirieron duraplastia cuando en una primera instancia fue imposible lograr el cierre de la duramadre.

El parche dural de poliuretano fue sustituido parcialmente por tejido conectivo, sin adherencia a la superficie cortical o a los tejidos contiguos. Tecnicw y otros 12 consideraron que la fascia lata cumple con casi todos los criterios requeridos para ser un injerto dural ideal.

Tratamiento quirúrgico de la neuralgia del nervio trigémino

Otro aspecto que debemos tener en cuenta es que los materiales utilizados son muy diferentes: Uno de los casos de Robertson y otros 14 llevaba 8 meses de posoperatorio, por lo que no necesariamente el tiempo ha de ser tan prolongado para que observar estas complicaciones.

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A pesar de tecncia 9 de nuestros pacientes murieron, ninguno de los decesos estuvo vinculado a la duraplastia con poliesteruretano. No obstante, se debe efectuar otro estudio prospectivo de amplio espectro.

The purpose of this study was to prove the use of polyesterurethane as a dural graft material and to inform the postoperative results. A duraplasty with polyesterurethane as a graft material was performed in 30 patients that required dural implants.

The polyesterurethane used was extracted from the protective polyfoam of the drug boxes. Patients with signs of infection in the site where the neurosurgical procedure was carried out were excluded.

The clinical observations trcnica made a day after surgery, at 15 and 90 days later to find signs of filtration of cerebrospinal fluid, wound infection and meningitis. Neither filtration of the cerebrospinal fluid nor infection was found in any of the 30 patients craniotomy In a patient that was reoperated on relapse due to cerebral metastasisthere were not observed adherences of the graft to the cortical surface.

It seems that polyesterutherane is an appropriate dural substitute that can be easily manipulated and in this case with no tecnicca and that produces a hermetic closure of the dura mater without complications or adherences to the cortical surface.

Duroplasty, dural substitute, polyesterurethane.

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A review of dural substitutes used in neurosurgery. The histomorphologic sequence of dural repair. Observations in the canine model.

LA FENESTRACION ENDOSCOPICA COMO TRATAMIENTO DE LOS QUISTES ARACNOIDEOS INTRACRANEALES

Tightness of duraplasty in rabbits: Effectiveness of fibrin glue for preventing postoperative extradural fluid leakage. Duraplasty in intracraneal operations. Creutzfeldt-Jacob disease alter receipt of a previously unimplicated brand of dura mater graft.

Clinical experience with expanded polytetrafluoroethylene sheet used as an artificial dura mater. Cejpek P, Smrcka V. Present possibilities for dura-mater substitute.

A clinicopathological study of collagen sponge as a dural grafo in neurosurgery. Comparative study of lyophilized human dura mater and lyophilized bovine pericardium as dural substitutes in neurosurgery.

Experimental evaluation of peritoneum and pericardium as dural substitutes. Fascia lata tcnica as dural substitute in neurosurgery.

Abordaje retrosigmoideo

Robertson S, Menezes A. Hemorrhagic complications in association with silastic dural substitute: Inmune response in host with cadaveric dural grafts. Reports of two cases.

Accessed in July 23, Incidental durotomy in spine surgery. Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients.

J Bone Joint Surg. Duraplastia, sustituto dural, poliesteruretano.