title: Minimal craniotomy and matrix hemostatic sealant for the treatment of spontaneous supratentorial intracerebral hemorrhage.
abstract: The authors describe a minimally invasive technical note for the surgical treatment of primary intracerebral hematoma. Thirty-one patients with supratentorial intracerebral hematomas and no underlying vascular anomalies or bleeding disorders underwent treatment with a single linear skin incision followed by a 3-cm craniotomy. After evacuation of the hematoma, a matrix hemostatic sealant (FloSeal) was injected into the surgical cavity, and immediate hemostasis was achieved in all cases. A second operation was necessary in only 1 case. In this preliminary experience, a small craniotomy combined with FloSeal helped to control operative bleeding, reducing brain exposure and damage to the surrounding tissue while reducing the length of the surgery.
authors.affiliation: Department of Neurosurgery, San Giovanni-Addolorata Hospital, Rome, Italy. r.gazzeri@tiscali.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Gazzeri
authors.forename: Marcelo
authors.initials: M
authors.lastname: Galarza
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Neroni
authors.forename: Alex
authors.initials: A
authors.lastname: Alfieri
authors.forename: Stefano
authors.initials: S
authors.lastname: Esposito
mesh_terms: D002543:Cerebral Hemorrhage / Q000628:therapy*; D003399:Craniotomy / Q000379:methods*; D005781:Gelatin Sponge, Absorbable / Q000008:administration & dosage / Q000627:therapeutic use*; D006406:Hematoma / Q000628:therapy*; D006490:Hemostatics / Q000008:administration & dosage / Q000627:therapeutic use*; D007267:Injections
chemical_list: C411004:FloSeal Matrix; D006490:Hemostatics