FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2912149994> ?p ?o ?g. }

• W2912149994 abstract "CONTEXT: Lumbar drains are commonly used for intra- operative CSF (cerebrospinal fluid) diversion, both as a prophylactic measure and therapeutic measure in the presence of CSF leak in trans-nasal trans-sphenoidal pituitary surgery. The documented risk of complication with the use of lumbar drains is 8%. Although generally considered safe, lumbar drain insertion increases the length of hospitalization, causes major and minor complications such as headache, backache, meningitis, radiculopathy, retained catheter fragments and patient discomfort. It has been shown that perioperative lumbar drain insertion for CSF diversion decreases the overall risk of post-operative CSF leaks. The studies that have been performed, regularly use the specifically designed lumbar drain kit such as the Codman lumbar drain kit. Owing to the unavailability and unaffordability of the same in our setting, we regularly use the epidural kit for placing lumbar drains. This is often associated with difficulty in CSF drainage. Since the diversion of CSF, is the key to successful surgery, we would like to see if the use of epidural kit for this purpose is associated with a higher incidence of difficult placement and unsuccessful CSF drainage and complications. AIM OF THE STUDY: To study the technical difficulties faced during lumbar subarachnoid drain placement and the complications associated with the lumbar drain. OBJECTIVES: 1. To assess the incidence of complications associated with pre-operative lumbar drain placement in endoscopic pituitary surgery. 2. To study the incidences of difficulties observed with lumbar CSF drain catheter placement with the epidural catheter set. 3. To study the incidence of difficulty in intra-operative CSF drainage following successful lumbar drain placement with the epidural catheter set. 4. To study the manoeuvres attempted to improve intra-operative CSF drainage. Study Design: Prospective observational study. MATERIALS AND METHODS: All Neurosurgery unit 1 patients, who underwent trans-nasal trans-sphenoidal resection of pituitary tumours, and required pre-operative lumbar drain placement as planned by the neurosurgeon, were recruited for the study. The department of Neurosurgery unit 2, does not routinely place lumbar drains as per their protocol for trans-nasal trans-sphenoidal surgery. A detailed patient information sheet was provided to the subjects and the primary investigator explained the technique and need for placement of the lumbar drain. Informed consent was then obtained from the subject. The technique of lumbar drain placement was decided upon by the concerned anaesthesiologist at the time of surgery. The other intra-operative details were also filled by the concerned anaesthesiologist in the proforma sheet. The patient was followed up post-operatively by the primary investigator, up to one day after completion of the surgery. The incidence of complications of lumbar drain placement, difficulty in placement, difficulty in drainage of CSF and the manoeuvres to improve the lumbar CSF drainage were assessed. The volume of CSF drained, presence or absence of CSF leak and the operative conditions, as assessed by the surgeon, were also noted. The data was analysed to arrive at the results. CONCLUSION: The complications observed were headache, backache and an increase in the duration of hospitalisation. Difficulty in tapping the lumbar space, citing the lumbar drain catheter and drainage of cerebrospinal fluid was also observed. Although lumbar subarachnoid drain placement for pituitary surgery is associated with only minimal complications, there is an unacceptably high rate of difficulties in placement and lumbar subarachnoid drain failure rates." @default.
• W2912149994 created "2019-02-21" @default.
• W2912149994 creator A5047006925 @default.
• W2912149994 date "2018-05-01" @default.
• W2912149994 modified "2023-09-27" @default.
• W2912149994 title "Lumbar subarachnoid drains for CSF drainage in pituitary surgery: Technical difficulties and complications: An observational study" @default.
• W2912149994 hasPublicationYear "2018" @default.
• W2912149994 type Work @default.
• W2912149994 sameAs 2912149994 @default.
• W2912149994 citedByCount "0" @default.
• W2912149994 crossrefType "dissertation" @default.
• W2912149994 hasAuthorship W2912149994A5047006925 @default.
• W2912149994 hasConcept C126322002 @default.
• W2912149994 hasConcept C141071460 @default.
• W2912149994 hasConcept C151730666 @default.
• W2912149994 hasConcept C2779343474 @default.
• W2912149994 hasConcept C2779651940 @default.
• W2912149994 hasConcept C2781267111 @default.
• W2912149994 hasConcept C31174226 @default.
• W2912149994 hasConcept C42219234 @default.
• W2912149994 hasConcept C44575665 @default.
• W2912149994 hasConcept C71924100 @default.
• W2912149994 hasConcept C81182388 @default.
• W2912149994 hasConcept C86803240 @default.
• W2912149994 hasConceptScore W2912149994C126322002 @default.
• W2912149994 hasConceptScore W2912149994C141071460 @default.
• W2912149994 hasConceptScore W2912149994C151730666 @default.
• W2912149994 hasConceptScore W2912149994C2779343474 @default.
• W2912149994 hasConceptScore W2912149994C2779651940 @default.
• W2912149994 hasConceptScore W2912149994C2781267111 @default.
• W2912149994 hasConceptScore W2912149994C31174226 @default.
• W2912149994 hasConceptScore W2912149994C42219234 @default.
• W2912149994 hasConceptScore W2912149994C44575665 @default.
• W2912149994 hasConceptScore W2912149994C71924100 @default.
• W2912149994 hasConceptScore W2912149994C81182388 @default.
• W2912149994 hasConceptScore W2912149994C86803240 @default.
• W2912149994 hasLocation W29121499941 @default.
• W2912149994 hasOpenAccess W2912149994 @default.
• W2912149994 hasPrimaryLocation W29121499941 @default.
• W2912149994 hasRelatedWork W1985328500 @default.
• W2912149994 hasRelatedWork W2063059902 @default.
• W2912149994 hasRelatedWork W2184115412 @default.
• W2912149994 hasRelatedWork W2391865991 @default.
• W2912149994 hasRelatedWork W2466132701 @default.
• W2912149994 hasRelatedWork W2583662004 @default.
• W2912149994 hasRelatedWork W2789625943 @default.
• W2912149994 hasRelatedWork W2802059881 @default.
• W2912149994 hasRelatedWork W2897721612 @default.
• W2912149994 hasRelatedWork W2901462426 @default.
• W2912149994 hasRelatedWork W2905631720 @default.
• W2912149994 hasRelatedWork W2938378109 @default.
• W2912149994 hasRelatedWork W3007132845 @default.
• W2912149994 hasRelatedWork W3038406474 @default.
• W2912149994 hasRelatedWork W3085270548 @default.
• W2912149994 hasRelatedWork W3089298802 @default.
• W2912149994 hasRelatedWork W3112307810 @default.
• W2912149994 hasRelatedWork W3173436081 @default.
• W2912149994 hasRelatedWork W3213342847 @default.
• W2912149994 hasRelatedWork W89663016 @default.
• W2912149994 isParatext "false" @default.
• W2912149994 isRetracted "false" @default.
• W2912149994 magId "2912149994" @default.
• W2912149994 workType "dissertation" @default.