[Percutaneous fibrin gluing in subcutaneous cerebrospinal fluid fistulas following operations on the brain and spinal cord].
In spite of a careful operation technique subcutaneous CSF fistulae may occur after operations to the central nervous system, which will then require repeated puncture treatment in combination with compression bandages and draining of the cerebrospinal fluid or a surgical treatment. The originally obtained result of the operation may in this way become doubtful. The percutaneous fibrin sealing of the fistulous opening and the tissue layers of the fistulous cavity after complete puncturing of its content is a safe and riskless procedure with which the therapy of this complication can be decisively improved. The indications and the technique are described. Contraindications are pointed out. The chances to obtain good results are shown on the basis of various cases.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000601:surgery; D001932:Brain Neoplasms / Q000601:surgery; D002555:Cerebrospinal Fluid; D004338:Drug Combinations / Q000627:therapeutic use; D004388:Dura Mater / Q000293:injuries / Q000601:surgery*; D005176:Factor XIII / Q000627:therapeutic use*; D005260:Female; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen / Q000627:therapeutic use*; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery; D008579:Meningioma / Q000601:surgery; D008866:Microsurgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012535:Scalp / Q000601:surgery*; D013917:Thrombin / Q000627:therapeutic use*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D014945:Wound Healing
D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D005340:Fibrinogen; D005176:Factor XIII; D013917:Thrombin
Perkutane Fibrinklebung bei subkutanen Liquorfisteln nach Operationen am Gehirn und Rückenmark.