THE MAIN PRINCIPLES OF HEMOSTASIS IN ENDOSCOPIC TRANSNASAL SURGERY OF CHIASMATIC MASS LESIONS
Abstract
Objective: to popularization the knowledge about hemostasis in patients with chiasmosellar tumors during conduction of endoscopic transnasal transsphenoid neurosurgical operations.
Material and methods. The analysis of literature data dedicated to mechanism of action and area of application of modern hemostatic materials to solve the problem of hemostasis on endonasal surgery; our own material including more than 2000 patients operated during 10 years.
Results: nowadays the principles of surgery in patients with chiasmosellar tumors had been totally changed thanks to endoscopic technologies. The appearance of new hemostatic materials and new methods of their application allow recommending them in various clinical situations.
Conclusion: the usage of modern hemostatic materials allows conducting endoscopic transnasal interventions with minimal blood loss as well as decreasing the numbers of complications and expenses involved in blood transfusion.
About the Authors
A. Yu. Grigor’ev
ФГБУ НМИЦ эндокринологии Минздрава ; МГМСУ имени А.И. Евдокимова.
Russian Federation
Moscow.
Russian Federation
Moscow.
O. V. Ivashchenko
ФГБУ НМИЦ эндокринологии Минздрава.
Russian Federation
Moscow.
Russian Federation
Moscow.
E. Yu. Nadezhdina
ФГБУ НМИЦ эндокринологии Минздрава.
Russian Federation
Moscow.
Russian Federation
Moscow.
References
1. Achneck H.E., Sileshi B., Jamiolkowski R.M. et al. A comprehensive review of topical hemostatic agents: efficacy and recommendations for use. Ann Surg 2010; 251(2):217— 228.
2. Bradford A. Woodworth, Rakesh K. Chandra, Jeffrey D. LeBenger, Bogdan Ilied, Rodney J. Schlosser. A gelatinthrombin matrix for hemostasis after endoscopic sinus surgery. American Journal of Otolaryngology—Head and Neck Medicine and Surgery 2009; 30: 49—53.
3. Gill I.S., Desai M.M., Kaouk J.H., et al. Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. J Urol 2002;167(2 pt.1):469—476. — discussion 475—476.
4. Haraji A., Rakhshan V., Hosseini V. Local heating of the wound with dressings soaked in saline at 42°C can reduce postoperative bleeding: a single-blind, split-mouth, randomised controlled clinical trial. Br J Oral Maxillofac Surg 2016; Apr, 54(3):266—269.
5. Kassam A., Snyderman C.H., Carrau R.L. et al. Endoneurosurgical hemostasis techniques: lessons learned from 400 cases. Neurosurg Focus 2005;19 (1):E7.
6. Kassam A.B., Snyderman C., Gardner P. et al: The expanded endonasal approach: a fully endoscopic transnasal approach and resection of the odontoid process: technical case report. Neurosurgery 2005;57 (Suppl 1):E213-E214.
7. Kivelev J., Gцhre F., Niemelд M., Hernesniemi J. Experiences with TachoSil® in microneurosurgery. Acta Neurochir (Wien) 2015; Sep.157(8): 1353-1357. — discussion 1357.
8. Kivelev J., Hernesniemi J. Four-fold benefit of wound closure under high magnification. Surg Neurol Int 2013;Sep. 13(4):115-7806.118171.
9. Lehecka M., Laakso A., Hernesniemi J. Helsinki microneurosurgery basics and tricks. Aesculap AG, Germany, 2011.
10. Lutsevich O.E., Grin’ А.А., Bichev А.А., Shepelev V.V. Osobennosti primeneniya gemostaticheskikh materialov mestnogo dejstviya v khirurgii. Moskovskij khirurgicheskij zhurnal 2016;3:12—20. Russian.
11. Polezhaev А.V., Cherebillo V.Yu., Gofman V.R., Manukovskij V.А. Osobennosti gemostaza pri ehndoskopicheskom transsfenoidal’nom udalenii opukholej gipofiza. Klinika nejrokhirurgii Voenno-meditsinskoj akademii. — 2004. — g.Sankt-Peterburg. — Rossiya. Russian .
12. Oz M.C., Rondinone J.F., Shargill N.S. FloSeal Matrix: new generation topical hemostatic sealant. J Card Surg 2003;18(6):486—493.
13. Schonauer C., Tessitore E., Barbagallo G. et al. The use of local agents: bone wax, gelatin, collagen, oxidized cellulose. Eur Spine J 2004; Oct;13 Suppl 1:89—96.
14. Stangerup S.E., Dommerby H., Lau T. Hot-water irrigation as a treatment of posterior epistaxis. Rhinology 1996;34:18— 20.
15. Stangerup S.E., Thomsen H.K. Histological changes in the nasal mucosa after hot-water irrigation. An animal experimental study. Rhinology 1996; 34:14-17.
16. The Surgiflo Hemostatic Matrix. Technical Report. SFL0389-09-12/10. — Ethicon, Inc., 2009.
Review
For citations:
Grigor’ev A.Yu., Ivashchenko O.V., Nadezhdina E.Yu. THE MAIN PRINCIPLES OF HEMOSTASIS IN ENDOSCOPIC TRANSNASAL SURGERY OF CHIASMATIC MASS LESIONS. Russian journal of neurosurgery. 2017;(4):3-10. (In Russ.)
Views:
792
Email this article 