Modern methods of intraoperative liquorrhea plastic in transsphenoidal microsurgery of pituitary adenomas
We analyzed 26 cases of microsurgical transsfenoidal pituitary adenomas removals with significant intraoperative liquorrhea. The goal of this investigation was to compare actual surgical procedures of nasal liquorrhea after the microsurgical removal of the pituitary adenomas preventing. Options of plastic using auto-implant layers or using the surgical sealing mixture DuraSeal® showed similar safety and effectiveness. Main postoperative complications in both groups of patients are described and analyzed. Basic principles of postoperative management were indicated, the question and the technical aspects of long-termed external lumbar drainage were discussed.