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Dural tenting sutures in pediatric neurosurgery
1Department of Surgery (Neurosurgery), The University of Colorado Health Sciences Center and Department of Neurosurgery of The Children's Hospital, Denver, Colorado, USA.
Pediatric Neurosurgery
|September 10, 1998
Abstract:
Dural tenting sutures were used on a selective basis in 329 consecutive cranial operations in children; 16 (4.8%) required dural tenting sutures for the control of epidural bleeding and 313 (95.2%) required no dural sutures. Dural tenting sutures were never placed for prophylaxis or to satisfy a routine. Reoperation for postoperative epidural hematoma was required in 1 child (0.3%) and that child was subsequently discovered to have hemophilia. The author concludes that there is no compelling evidence for the prophylactic use of dural tenting sutures in children.