Interdisciplinary Neurosurgery (Dec 2016)

The reconstructive role of TachoSil in neurosurgery

  • Graziano Francesca, MD,
  • Maugeri Rosario, MD, PhD,
  • Luigi Basile, MD,
  • Carlo Guli', MD,
  • Iacopino D. Gerardo, MD, PhD

DOI
https://doi.org/10.1016/j.inat.2016.08.002
Journal volume & issue
Vol. 6, no. C
pp. 51 – 54

Abstract

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Hemorrhages, cerebrospinal fluid (CSF) fistula and infections are the most challenging post-operative complications in Neurosurgery [1–5]. Fibrin sealant agents have been developed with the aim to provide efficient hemostasis and safe dural closure [3,6–14]. In this study we report our initial experience using TachoSil® (haemostatic surgical patch; Nycomed, Linz, Austria) in achieving hemostasis and CSF leakage repair during cranio-cerebral procedures [15–18]. We describe and show the unique features of this fibrin sealant, pioneered with stunning success in many surgical procedures known to be at high risk of peri- and postoperative bleeding (i.e. nephrectomies, pulmonary lobectomies, ballistic injuries, arthroplasties, coronary bypass graftings), but still not widely exploited at its best in the field of Neurosurgery.