Dural tenting sutures in pediatric neurosurgery.
Dural tenting sutures were used on a selective basis in 329 consecutive cranial operations in children; 16 (4.8%) required dural tenting sutures for the control of epidural bleeding and 313 (95.2%) required no dural sutures. Dural tenting sutures were never placed for prophylaxis or to satisfy a routine. Reoperation for postoperative epidural hematoma was required in 1 child (0.3%) and that child was subsequently discovered to have hemophilia. The author concludes that there is no compelling evidence for the prophylactic use of dural tenting sutures in children.
Winston
K R
KR
Department of Surgery (Neurosurgery), The University of Colorado Health Sciences Center and Department of Neurosurgery of The Children's Hospital, Denver, Colorado, USA.
D000293:Adolescent; D001921:Brain / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy / Q000009:adverse effects; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012086:Reoperation; D013537:Sutures