LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS

Lumbar drainage is one of the methods used to prevent the occurrence of intracranial hypertension and treatment of nasal liquorrhea in patients after by endonasal transsphenoidal endoscopic removal of tumors of the chiasmosellar region. The application of this method intraoperatively is a standard p...

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Autores principales:	S. V. Gorbachev, E. V. Sereda, S. M. Gorbacheva, S. I. Petrov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	lumbar drainage chiasmosellar tumors meningitis adenoma Science Q
Acceso en línea:	https://doaj.org/article/26074602d6ca491a9ba2e5101c4e5706
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spelling	oai:doaj.org-article:26074602d6ca491a9ba2e5101c4e57062021-11-23T06:14:37ZLUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS2541-94202587-959610.12737/article_59a614f64b6067.12832664https://doaj.org/article/26074602d6ca491a9ba2e5101c4e57062017-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/609https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Lumbar drainage is one of the methods used to prevent the occurrence of intracranial hypertension and treatment of nasal liquorrhea in patients after by endonasal transsphenoidal endoscopic removal of tumors of the chiasmosellar region. The application of this method intraoperatively is a standard procedure to facilitate manipulation of the brain surgeon, but prolonged post-operative drainage is used extremely selectively and depending on the approaches taken in the specific medical organization. The present paper describes different frequency and risks of lumbar drainage after the surgery. Our aim was to assess the efficacy and safety of postoperative drainage of liquor from the surveyed patients. We observed 80 patients in the postoperative period who were conducted passive lumbar drainage. The assessment was performed of the cell count and discharge of the liquor, depending on the size of the tumor. During the study, it was found that the optimal timing of drainage is: 3 days for patients with small and medium-sized pituitary adenomas and 5 days for patients with large and giant adenomas. In all cases, the maximum values of cell count were observed on the first day and they gradually reduced by the 3-5th days due to reorganization of the liquor and reduced inflammatory response. Postoperative meningitis developed in 6 (5.8 %) cases and in 3 cases this complication led to death. It has been found, that prolonged liquor drainage meets the standards of safety and effectiveness for the correction of intracranial hypertension and accelerates the rehabilitation of the CSF.S. V. GorbachevE. V. SeredaS. M. GorbachevaS. I. PetrovScientific Сentre for Family Health and Human Reproduction Problemsarticlelumbar drainagechiasmosellar tumorsmeningitisadenomaScienceQRUActa Biomedica Scientifica, Vol 2, Iss 2, Pp 9-13 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	lumbar drainage chiasmosellar tumors meningitis adenoma Science Q
spellingShingle	lumbar drainage chiasmosellar tumors meningitis adenoma Science Q S. V. Gorbachev E. V. Sereda S. M. Gorbacheva S. I. Petrov LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
description	Lumbar drainage is one of the methods used to prevent the occurrence of intracranial hypertension and treatment of nasal liquorrhea in patients after by endonasal transsphenoidal endoscopic removal of tumors of the chiasmosellar region. The application of this method intraoperatively is a standard procedure to facilitate manipulation of the brain surgeon, but prolonged post-operative drainage is used extremely selectively and depending on the approaches taken in the specific medical organization. The present paper describes different frequency and risks of lumbar drainage after the surgery. Our aim was to assess the efficacy and safety of postoperative drainage of liquor from the surveyed patients. We observed 80 patients in the postoperative period who were conducted passive lumbar drainage. The assessment was performed of the cell count and discharge of the liquor, depending on the size of the tumor. During the study, it was found that the optimal timing of drainage is: 3 days for patients with small and medium-sized pituitary adenomas and 5 days for patients with large and giant adenomas. In all cases, the maximum values of cell count were observed on the first day and they gradually reduced by the 3-5th days due to reorganization of the liquor and reduced inflammatory response. Postoperative meningitis developed in 6 (5.8 %) cases and in 3 cases this complication led to death. It has been found, that prolonged liquor drainage meets the standards of safety and effectiveness for the correction of intracranial hypertension and accelerates the rehabilitation of the CSF.
format	article
author	S. V. Gorbachev E. V. Sereda S. M. Gorbacheva S. I. Petrov
author_facet	S. V. Gorbachev E. V. Sereda S. M. Gorbacheva S. I. Petrov
author_sort	S. V. Gorbachev
title	LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
title_short	LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
title_full	LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
title_fullStr	LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
title_full_unstemmed	LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS
title_sort	lumbar drainage in chiasmosellar tumors
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/26074602d6ca491a9ba2e5101c4e5706
work_keys_str_mv	AT svgorbachev lumbardrainageinchiasmosellartumors AT evsereda lumbardrainageinchiasmosellartumors AT smgorbacheva lumbardrainageinchiasmosellartumors AT sipetrov lumbardrainageinchiasmosellartumors
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LUMBAR DRAINAGE IN CHIASMOSELLAR TUMORS

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