title: Usefulness of an additional mattress suture for the extracranial drainage catheter.
abstract: In most intracranial surgery cases, a drain catheter is inserted to prevent the collection of the wound hematoma or seroma. A drain catheter is also inserted to drain the hematoma or the cerebrospinal fluid. The drain catheter itself does not cause complications; but many complications occur during its removal, such as hematoma, seroma, air collection and pseudomeningocele formation. To prevent these complications, neurosurgeons perform a suture on the catheter to remove the site. In this study, an additional horizontal mattress suture and an anchoring suture to the drainage catheter are proposed. This method maintains negative pressure in the catheter insertion site during the catheter removal, compresses the catheter tunnel site and attaches the external wounds strongly. The technique is easy and safe to perform, and does not require an additional suture to remove the catheter.
authors.affiliation: Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Dong Woong
authors.initials: DW
authors.lastname: Eom
authors.affiliation: Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Jung Soo
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Kyoung Dong
authors.initials: KD
authors.lastname: Jeon
authors.affiliation: Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Hoon
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Byeong Sam
authors.initials: BS
authors.lastname: Choi
keywords: Catheters; Intracranial surgery; Mattress suture