TABLE 3.
Sellar closure techniques and complications in transplanum transtuberculum approach for craniopharyngioma
| Pt. No. | Sellar closure technique | Lumbar drainage (days) | CSF leak | Revision | Revision technique | Meningitis | Hydrocephalus / internal drainage |
|---|---|---|---|---|---|---|---|
| 1 | Neuropatch bilayer, Beriplast, Spongostan | 10 | No | None | No | No | |
| 2 | Neuropatch bilayer, Beriplast, Sph obliteration (fat) | 14 | No | None | No | No | |
| 3 | Neuropatch inlay, Beriplast, Neuropatch overlay, Tachosil, Spongostan | 12 | No | None | No | No | |
| 4 | Neuropatch inlay, Tachosil overlay, Spongostan, Beriplast | 11 (+13) | Yes | Twice | I. topic obliteration (Tachosil), Beriplast II. topic obliteration (fat), FL overlay, Sph obliteration (fat, Beriplast) | Yes (no bacteria) | Yes |
| 5 | Neuropatch bilayer, Tachosil, Hadad, Duraseal | 20 (+14) | Yes | Once | Topic obliteration (fat), Beriplast, Sph obliteration (fat). | Yes (Ps. aer.) | Yes |
| 6 | Fat intrasell, FL bilayer, Hadad, Duraseal | 12 | No | None | No | No | |
| 7 | Fat intrasell, FL bilayer, Hadad, Duraseal | 11 | No | None | No | No | |
| 8 | Tachosil inlay, Duraform overlay (double), Tachosil overlay, Hadad, Duraseal | 16 | No | None | No | No |
FL = fascia lata; Sph = sphenoid sinus; Neuropatch = microporic polyesther urethane (B. Braun Melsungen AG, Melsungen, Germany); Beriplast = fibrin glue CSL Behring, King of Prussia, Pennsylvania, USA); Duraseal = synthetic sealant (Covidien, Dublin, Ireland); Tachosil = animal derived collagen sponge with fibrinized surface (Takeda Pharmaceuticals International GmbH, Zurich, Switzerland); Spongostan = cellulose sponge (Ethicon Biosurgery, Somerville, New Jersey, USA); Hadad = nasal septal vascularized flap; Duraform = collagen-based biocompatible dural implant (Codman, Raynham, Maryland, USA); Ps. aer. = Pseudomonas Aeruginosa