Related Experiment Video
Updated: Jan 24, 2026
09:41
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
1.7K
Common Practice in the Management of Dural Closure: An Italian Questionnaire.
Elena d'Avella1, Benedetta Fazzolari2, Marco Schiariti3
1Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University of Napoli "Federico II", Naples, Italy.
World Neurosurgery
|May 26, 2019
Summary
Italian neurosurgeons aim for watertight dural closure, identifying key cerebrospinal fluid (CSF) leak risk factors and preventative measures. Consensus exists on techniques, but further comparative studies on dural repair strategies are needed.
Area of Science:
- Neurosurgery
- Surgical Techniques
- Cerebrospinal Fluid Dynamics
Background:
- Optimal management of dural closure remains uncertain.
- Current practices among Italian neurosurgeons were surveyed to address this gap.
Purpose of the Study:
- To survey current common practices in dural closure among Italian neurosurgeons.
- To achieve consensus on dura mater closing techniques using the Delphi method.
Main Methods:
- The Delphi method was employed with a steering committee defining key topics.
- A questionnaire on pre- and postoperative conditions, closure indications, and techniques was distributed to Italian neurosurgeons.
Main Results:
- A 60% response rate was achieved, with consensus on 36 out of 60 items.
- Major risk factors for cerebrospinal fluid (CSF) leak include intrathecal hypertension and spinal incidental durotomy.
- Watertight dural closure is always attempted, preferably with nonabsorbable sutures; fibrin glues are the preferred dural sealants.
Conclusions:
- The study highlights consensus and uncertainty in dural closure practices among Italian neurosurgeons.
- Findings provide data on daily departmental practices, though further comparative studies on dural repair are necessary due to limited evidence.
Related Concept Videos
03:24Common Ion Effect
46.1K
Compared with pure water, the solubility of an ionic compound is less in aqueous solutions containing a common ion (one also produced by dissolution of the ionic compound). This is an example of a phenomenon known as the common ion effect, which is a consequence of the law of mass action that may be explained using Le Châtelier’s principle. Consider the dissolution of silver iodide:
46.1K
01:28Angle Closure Glaucoma: Treatment
1.2K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.2K
01:31Common Respiratory Disorders
1.3K
Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
1.3K
01:16Characteristics of Practical Op Amps
840
A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
The ratio of differential gain to the common-mode gain is defined as the common-mode rejection ratio (CMRR). This ratio quantifies the ability of operational amplifiers (op-amps) to reject common-mode...
840
01:30Theoretical Foundations of Nursing Practice
17.3K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
17.3K
01:28Equivalent Circuits for Practical Transformers
1.4K
The practical equivalent circuits of single-phase two-winding transformers exhibit significant deviations from their idealized versions due to the inherent properties of winding resistance and finite core permeability. These properties result in real and reactive power losses, affecting the transformer's performance. Understanding these deviations is crucial for designing more efficient transformers.
In a practical transformer, each winding exhibits resistance and leakage reactance. The...
In a practical transformer, each winding exhibits resistance and leakage reactance. The...
1.4K