Application of free fascia lata for dura mater reconstruction in the treatment of the refractory intracranial infection after craniotomy
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 11
Abstract
[Objective] To summarize the application of free fascia lata in reconstructive surgery for patients with refractory intracranial infection after craniotomy. [Methods] A retrospective analysis was performed for the clinical data, treatment details, results, and follow-up of 22 patients with refractory intracranial infection caused by drug-resistant bacteria treated with free fascia lata. [Results] Twenty-two patients were included in the cohort. All these patients underwent salvage surgery, including removal of the artificial alien dura mater and achievement of complete dura seal with free fascia lata. Immediate infection curation was achieved in 21 patients. In-hospital death occurred in 3 patients with other complications, of them, a patient whose infection curation was not achieved when he died from massive intracerebral hemorrhage 1 week after reconstruction surgery. During a period of 13-86 month follow-up, the surviving patients remained free of infection recurrence. [Conclusion] Free fascia lata repair can serve as a more straightforward but effective option for dura mater reconstruction, even in the setting of a severe septic area caused by multiple drug-resistant bacteria .
Authors and Affiliations
Linhua YIN, Mingsheng WANG, Feng ZHANG, Zijun XU, Tao. ZENG
Keywords
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- EP ID EP759202
- DOI 10.3969/j.issn.1002-0152.2024.11.002
- Views 25
- Downloads 0
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