The effect of intraoperative CSF drainage on post-operative rhinorrhea in endoscopic transsphenoidal pituitary surgery Endoskopik transsfenoidal hipofiz cerrahisinde intraoperatif BOS drenajının post-operatif rinore üzerine etkisi

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ÇELTİKÇİ E.

Pamukkale Medical Journal, cilt.15, sa.3, ss.583-586, 2022 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.31362/patd.1090580
  • Dergi Adı: Pamukkale Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.583-586
  • Anahtar Kelimeler: CSF leak, endoscopic surgery, lumbar drain, pituitary adenoma, transsphenoidal
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Gazi Üniversitesi Adresli: Evet

Özet

Purpose: Since few studies describe intraoperative CSF drainage that may be beneficial for intraoperative CSF leak and post-operative rhinorrhea, we wanted to share our experience with this technique, which we observed that it reduces intraoperative CSF leakage, increases surgical field control and contributes to maximum tumor resection. Materials and methods: 266 pituitary adenoma cases operated endonasal endoscopically between August 2018 and December 2019 were retrospectively analyzed. Patients were grouped as intraoperative CSF drained patients via a lumbar drainage shunt and patients who did not receive any CSF drainage intraoperatively. The success criterion was the absence of rhinorrhea postoperatively in the first two months. Whether there is a significant difference in the appearance of rhinorrhea between the two groups was determined using SPSS (version 20, IBM Corp.) software and the Chi-square test. Results: In the group where the intraoperative CSF was drained post-operative rhinorrhea was observed in 1 patient, whereas 6 patients in the non-CSF drainage group had post-operative rhinorrhea and this difference was statistically significant (p<0.05). Conclusions: Our findings suggest that diaphragma sellae elevation is achieved with the support of atmospheric pressure due to the preoperative CSF drainage, and therefore intraoperative CSF leakage and post-operative rhinorrhea rates are reduced.