Clinical peculiarities of аpplication of high-frequency electric welding technology and cold-plasma coagulation in cystic brain meningioma surgery
DOI:
https://doi.org/10.11603/2414-4533.2017.4.8137Keywords:
cystic meningiomas of the brain, cold-plasma coagulation, high-frequency electrical welding of living tissues, clinical features.Abstract
The aim of the work: improving surgical technique and reducing intraoperative blood loss by means of soft tissue electric welding (EW) and the use of cold-plasma coagulation during the curative operations for patients with extracerebral cystic meningiomas.
Materials and Methods. At the Department of Extracerebral Tumors and Endoscopic Neurosurgery of A. Romodanov Neurosurgery Institute, National Academy of Medical Sciences of Ukraine from 2012 to 2017 there were conducted surgical interventions for 54 patients (22 men aged from 20 to 79 years old and 32 women aged from 42 to 77 years old) with supratentorial cystic tumors, using the soft tissue EW generator (multifunctional and cross functional device EKVZ - 300 "PATONMED").
Results and Discussion. The HPC method has high tolerability, provides a high rate of wound epithelialization, is painless and shows a decrease in exudation. Studying of the terms of complete wound epithelization showed an accelerated recovery rate of the epithelium and decrease of the recurrence rate. With considering low cicatricial changes after the use of HPC it can be recommend as a method of CNS tumors surgery in order to prevent the secondary postoperative epileptic syndromes.
Nowadays, together with the staff members of Paton Electric Welding Institute we are actively working on the development and implementation into practice of a new method of contactless thermospray treatment of living tissues, which makes it possible to achieve stable hemostasis quickly and effectively if there is bleeding from vessels up to 3 mm in diameter, or from the parenchymatous organs, also it contributes to successful bloodless tissue dissection, thermoablation of tumors and metastases. Implementation of the technique of contactless thermospray treatment of living tissues proves its effectiveness in preventing wound infections and significant tissue damage, which makes it indispensable providing the surgical treatment in hospitals and in outpatient conditions.
Conclusions. There is presented the data of our own researches of use the high-frequency technology of electric welding and cold-plasma coagulation during intracranial meningiomas removal. The application of surgical welding technologies allows us to shorten the duration of surgical procedure, to provide a stable hemostasis, to reduce the blood loss volume, to decrease the number of complications and to minimize the use of suture materials.
References
Zozulia, Yu.P., Kvasha, M.S., & Malysheva T.A. (2013). Zminy ekspresii heniv u meninhiomakh holovnoi mozku [Changes of gene expression of meningiomas of the brain]. Zhurnal. NAMN Ukrainy – Journal. NAMS of Ukraine, 19/4, 458-470 [in Ukrainian].
Tigliyev, G.S., Olyushin, V.Ye., Bekyashev, A.Kh., & Sycheva, R.V. (2007). Patologicheskaiya anatomiya i molekulyarnaya biologiya meningiom [Pathological anatomy and molecular biology of meningomas]. Voprosy neyrokhirurgii im. N.N. Burdenko – Issues of Neurosurgery named after N. N. Burdenko, 4, 11-16 [in Russian].
Elizabeth Claus, B. (2005). Epidemiology of intracranial meningioma. Neurosurgery, 57 (6), 88-95. PMID: 16331155.
Chen, T.Y., Lai, P.H., & Ho, J.T. (2004). Magnetic resonance imaging and diffusion –weighted images of cystic meningioma: correlating with histopathology. J. Clin. Imaging, 28 (1), 10-19.
Hanft, S., Canoll, P., & Bruce, J.N. (2010). A review of malignant meningiomas: diagnosis, characteristics, and treatment. J. Neurooncol., 99, 433.
Nauta, H.J., Tucker, W.S., & Horsey, W.J. (1979). Xanthochromic cysts associated with meningioma. J. Neurol. Neurosurg. Psychiatry, 42 (6), 529-535.
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