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Haemostatic technique in malignant gliomas.

Mauro Dobran1, Lucia Giovanna Maria di Somma1, Riccardo Paracino2

  • 1Department of Neurosurgey, Ospedali Riuniti di Ancona, Via Cona, Ancona, Italy.

Neurologia I Neurochirurgia Polska
|December 2, 2022
PubMed
Summary

A novel compression technique effectively achieves hemostasis in malignant glioma (GBM) brain surgery, significantly reducing postoperative bleeding risks. This method proves safe and beneficial for patients undergoing complex cerebral tumor removal.

Keywords:
brain tumourglioblastomahaemostasishaemostatic agentsintra-axial haemostasis

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Area of Science:

  • Neurosurgery
  • Oncology
  • Vascular Surgery

Background:

  • Achieving hemostasis is critical in brain surgery to prevent postoperative re-bleeding and ensure favorable outcomes.
  • Postoperative intra-cavity hemorrhage is a common complication, particularly in surgeries for malignant gliomas due to fragile tumor vessels.

Purpose of the Study:

  • To describe and evaluate a 'compression' technique for achieving hemostasis during supratentorial malignant glioma (GBM) surgery.
  • To assess the safety and efficacy of this technique in preventing postoperative intra-cavity hemorrhage.

Main Methods:

  • The study involved adult patients undergoing surgery for supratentorial malignant gliomas (GBM) between January 2019 and January 2022.
  • A specific 'compression' technique was employed for hemostasis.
  • Peri-operative evaluation included clinical status, laboratory data, and contrast brain CT scans at 24 hours post-surgery or earlier if neurological worsening occurred.

Main Results:

  • A total of 82 patients (46 males, 36 females) were included.
  • Postoperative intra-cavity hemorrhage was documented in 3.65% of patients (3/82) via CT scan.
  • The mean surgical duration was 3.66 hours, with no late bleeding observed beyond 48 hours post-surgery.

Conclusions:

  • The described compression technique demonstrates positive results in achieving hemostasis for patients operated on for malignant glioma (GBM).
  • This technique appears to be a safe and effective method for preventing postoperative bleeding in cerebral GBM surgery.