Hemostasis in Skull Base Surgery.
Having absolute hemostasis is crucial in skull base surgery, because bleeding decreases visualization and increases the risk of postoperative complications. Achieving hemostasis starts from the preoperative evaluation. A thorough clinical history and routine tests guide the surgeon to minimize bleeding risk preoperatively, and comprehensive study of preoperative images helps the surgeon to predict bleeding risk and to consider preoperative embolization in suitable cases. Many hemostatic agents are available to control intraoperative bleeding; understanding of their indications and properties is crucial to achieve hemostasis. Whether endoscopic or transcranial approach, microsurgical techniques to avoid and control bleeding are the same.
Department of Neurosurgery, Northshore University Hospital, Northwell Health, 300 Community Drive, Nine Tower, Manhasset, NY 11030, USA.
Abdullah
A
Alobaid
Department of Neurosurgery, Northshore University Hospital, Northwell Health, 300 Community Drive, Nine Tower, Manhasset, NY 11030, USA. Electronic address: adehdashti@nshs.edu.
Amir R
AR
Dehdashti
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008866:Microsurgery / Q000379:methods; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D020379:Risk Adjustment / Q000379:methods; D019291:Skull Base / Q000601:surgery
Bleeding; Coagulation; Hemostasis; Hemostatic agents; Pituitary; Skull base