Minimal craniotomy and matrix hemostatic sealant for the treatment of spontaneous supratentorial intracerebral hemorrhage.
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.
Gazzeri
Roberto
R
Department of Neurosurgery, San Giovanni-Addolorata Hospital, Rome, Italy. r.gazzeri@tiscali.it
Galarza
Marcelo
M
Neroni
Massimiliano
M
Alfieri
Alex
A
Esposito
Stefano
S
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
C411004:FloSeal Matrix; D006490:Hemostatics