Efficacy of dural tenting sutures

J Neurosurg. 1999 Aug;91(2):180-4. doi: 10.3171/jns.1999.91.2.0180.

Abstract

Object: The goal of this study was to assess the necessity for the prophylactic use of dural tenting sutures.

Methods: Data that had been prospectively collected from 369 consecutive cranial operations in adults were analyzed. In this series of patients, dural tenting sutures were used on a judicious "as needed" basis. They were never used to satisfy a procedural routine or for use as a prophylaxis against epidural hemorrhage that was not apparent. Tenting sutures were used for the control of epidural bleeding in 33 patients (8.9%); no tenting was required in 336 patients (91.1%). Reoperation for postoperative epidural hematoma was not required in this series.

Conclusions: Dural tenting sutures continue to have an important role in neurosurgery; however, there is no compelling evidence to support their traditional prophylactic use in every intracranial operation.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Blood Loss, Surgical / prevention & control
  • Brain Injuries / surgery
  • Cerebellar Neoplasms / surgery
  • Cerebral Hemorrhage / prevention & control
  • Cerebrovascular Disorders / surgery
  • Craniotomy / methods
  • Dura Mater / surgery*
  • Electrocoagulation
  • Epilepsy / surgery
  • Female
  • Hemostasis, Surgical / methods*
  • Hemostatics / therapeutic use
  • Humans
  • Male
  • Meningeal Arteries / surgery
  • Middle Aged
  • Postoperative Hemorrhage / prevention & control
  • Prospective Studies
  • Skull Fractures / surgery
  • Suture Techniques* / instrumentation
  • Sutures

Substances

  • Hemostatics