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Impact of the lumbar catheter on the incidence of post-surgical meningitis in the endoscopic endonasal approach.

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dc.contributor.author Maskin, Luis Patricio
dc.contributor.author Noya, Santiago Ezequiel
dc.contributor.author Caffaratti, Guido
dc.contributor.author Echarri, María Martina
dc.contributor.author Hlavnicka, Alejandro Félix
dc.contributor.author Cervio, Andrés Eduardo
dc.date.accessioned 2024-05-06T14:24:36Z
dc.date.available 2024-05-06T14:24:36Z
dc.date.issued 2024-04-02
dc.identifier.citation Maskin LP, Noya SE, Caffaratti G, Echarri MM, Hlavnicka AF, Cervio AE. Impact of the lumbar catheter on the incidence of post-surgical meningitis in the endoscopic endonasal approach. J Neurol Surg B Skull 2024. April 2. doi:10.1055/a-2298-0898. es_ES
dc.identifier.uri https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2298-0898
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1108
dc.description.abstract Objectives: Endoscopic endonasal approach (EEA) procedures are inherently contaminated due to direct access through the nasopharyngeal mucosa. The reported rate of postoperative meningitis in EEA procedures is between 0.7%-10%. Lumbar catheters are used in EEA surgeries to prevent cerebrospinal fluid (CSF) fistulae, but its use is associated with increase infection rates. This study investigated whether there is a difference in rates of postoperative meningitis based on lumbar catheter utilization. Methods: We performed a retrospective review of consecutive patients who underwent EEA surgeries between January 2016 and March 2023 at single-institution (FLENI). Main outcome: Incidence of meningitis following EEA surgery with lumbar catheter. Results: seventy-two patients were enrolled, median age was 44 years, and 53% were female. Most frequent surgery performed was craniopharyngioma 46% (26 patients). Lumbar catheter was used in twenty-eight patients. Meningitis was diagnosis in 11 of 72 patients (15.2%), being higher in the lumbar catheter group (10 patients). The odds ratio for the development of meningitis in the presence of a lumbar catheter was 23.38 (95% confidence interval, 2.77-123.78; p < 0.004). There was no statistical difference in reported incidence of meningitis when CSF leak was present. Conclusions: This study demonstrates an extremely high incidence of meningitis (36%) following EEA procedures when lumbar catheter is used. The incidence of meningitis was not significantly associated with CSF leak in our cohort. es_ES
dc.language.iso eng es_ES
dc.publisher Thieme es_ES
dc.subject Meningitis es_ES
dc.subject Catéteres es_ES
dc.subject Catheters es_ES
dc.subject Neurocirugía es_ES
dc.subject Neurosurgery es_ES
dc.subject Procedimientos Neuroquirúrgicos
dc.subject Neurosurgical Procedures
dc.title Impact of the lumbar catheter on the incidence of post-surgical meningitis in the endoscopic endonasal approach. es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.description.fil Fil: Noya, Santiago Ezequiel. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina.
dc.description.fil Fil: Echarri, María Martina. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina.
dc.description.fil Fil: Hlavnicka, Alejandro Félix. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina.
dc.description.fil Fil: Caffaratti, Guido. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Cervio, Andrés Eduardo. Fleni. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofCOUNTRY Alemania
dc.relation.ispartofCITY Stuttgart
dc.relation.ispartofTITLE Journal of neurological surgery. Part B, Skull base
dc.relation.ispartofISSN 2193-634X
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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