ROLE OF DURAL TENTING SUTURES IN PREVENTING EDH IN ROUTINE SURGERY DEEPAK AGRAWAL, BS SHARMA, VS MEHTA Deptt. Of Neurosurg...
<ul><li>Walter Dandy (1932) </li></ul><ul><li>“ A NUMBER OF PERMANENT SILK SUTURES TIGHTLY DRAWN BETWEEN THE DURA AND THE ...
<ul><li>WHAT IS THE NEED OF THIS STUDY? </li></ul>
<ul><li>The use of dural tenting sutures today is a perpetuation of a tradition introduced 70 years back. </li></ul><ul><l...
<ul><li>Era of evidence based medicine </li></ul><ul><li>Conditions like significant systemic hypotension almost nonexiste...
<ul><li>AIM: </li></ul><ul><li>TO ASSESS THE EFFICACY OF DURAL TENTING SUTURES IN PREVENTING POSTOP EDH FORMATION FOLLOWIN...
<ul><li>MATERIALS AND METHODS </li></ul><ul><li>PROSPECTIVE RANDOMISED STUDY </li></ul><ul><li>JUL 2001 TO JUNE 2002 </li>...
<ul><li>MATERIALS & METHODS </li></ul>300 PTS 150 PTS HITCH 150 PTS NO HITCH
HOWEVER, ALL PTS IN WHICH THE SURGEON FELT THERE WAS NEED FOR HITCH SUTURES WERE EXCLUDED FROM THE STUDY AND NOT RANDOMISED
<ul><li>RESULTS  (Sex distribution) </li></ul>300 pts 150 hitch 150 no hitch 89 M 61 F 78 M 72 F
 
TYPE OF SURGERY
<ul><li>OUTCOME </li></ul>
<ul><li>CONCLUSIONS </li></ul><ul><li>DURAL TENTING SUTURES ARE SUPERFLUOUS IN ROUTINE SUPRATENTENTORIAL CRANIOTOMY </li><...
<ul><li>THANK YOU </li></ul>
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Role of dural tenting sutures in preventing edh in routine surgery

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Role of dural tenting sutures in preventing edh in routine surgery

  1. 1. ROLE OF DURAL TENTING SUTURES IN PREVENTING EDH IN ROUTINE SURGERY DEEPAK AGRAWAL, BS SHARMA, VS MEHTA Deptt. Of Neurosurgery, AIIMS New Delhi
  2. 2. <ul><li>Walter Dandy (1932) </li></ul><ul><li>“ A NUMBER OF PERMANENT SILK SUTURES TIGHTLY DRAWN BETWEEN THE DURA AND THE GALEA OR SUBAPONEUROTIC TISSUE…[WILL] HOLD THE DURA FIRMLY AGAINST THE BONE AND MAKE POSTOP EDH FROM THIS SOURCE IMPOSSIBLE” </li></ul>DURAL TENTING SUTURES
  3. 3. <ul><li>WHAT IS THE NEED OF THIS STUDY? </li></ul>
  4. 4. <ul><li>The use of dural tenting sutures today is a perpetuation of a tradition introduced 70 years back. </li></ul><ul><li>Pts were hypotensive </li></ul><ul><li>Blood was not replaced </li></ul><ul><li>Minimal monitoring of cardiovascular status </li></ul>
  5. 5. <ul><li>Era of evidence based medicine </li></ul><ul><li>Conditions like significant systemic hypotension almost nonexistentent now </li></ul><ul><li>Possibility of causing bleeding from dural or cerebral vessels is present </li></ul><ul><li>Slightly longer operating time </li></ul>DURAL TENTING SUTURES
  6. 6. <ul><li>AIM: </li></ul><ul><li>TO ASSESS THE EFFICACY OF DURAL TENTING SUTURES IN PREVENTING POSTOP EDH FORMATION FOLLOWING ELECTIVE SUPRATENTORIAL CRANIOTOMY </li></ul>
  7. 7. <ul><li>MATERIALS AND METHODS </li></ul><ul><li>PROSPECTIVE RANDOMISED STUDY </li></ul><ul><li>JUL 2001 TO JUNE 2002 </li></ul>
  8. 8. <ul><li>MATERIALS & METHODS </li></ul>300 PTS 150 PTS HITCH 150 PTS NO HITCH
  9. 9. HOWEVER, ALL PTS IN WHICH THE SURGEON FELT THERE WAS NEED FOR HITCH SUTURES WERE EXCLUDED FROM THE STUDY AND NOT RANDOMISED
  10. 10. <ul><li>RESULTS (Sex distribution) </li></ul>300 pts 150 hitch 150 no hitch 89 M 61 F 78 M 72 F
  11. 12. TYPE OF SURGERY
  12. 13. <ul><li>OUTCOME </li></ul>
  13. 14. <ul><li>CONCLUSIONS </li></ul><ul><li>DURAL TENTING SUTURES ARE SUPERFLUOUS IN ROUTINE SUPRATENTENTORIAL CRANIOTOMY </li></ul>
  14. 15. <ul><li>THANK YOU </li></ul>

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