Use of a contoured bioresorbable plate with a hemostatic plug to control life-threatening bleeding from the superior sagittal sinus during hemispherotomy: Technical note

Gerald F. Tuite, Carolyn M. Carey, William W. Nelson, Scott J. Raffa, S. Parrish Winesett

Research output: Contribution to journalArticlepeer-review

Abstract

Profuse bleeding originating from an injured cerebral sinus can be a harrowing experience for any surgeon, particularly during an operation on a young child. Common surgical remedies include sinus ligation, primary repair, placement of a hemostatic plug, and patch or venous grafting that may require temporary stenting. In this paper the authors describe the use of a contoured bioresorbable plate to hold a hemostatic plug in place along a tear in the inferomedial portion of a relatively inaccessible part of the posterior segment of the superior sagittal sinus in an 11-kg infant undergoing hemispherotomy for epilepsy. This variation on previously described hemostatic techniques proved to be easy, effective, and ultimately lifesaving. Surgeons may find this technique useful in similar dire circumstances when previously described techniques are ineffective or impractical.

Original languageEnglish (US)
Pages (from-to)487-492
Number of pages6
JournalJournal of Neurosurgery: Pediatrics
Volume18
Issue number4
DOIs
StatePublished - Oct 2016

Keywords

  • Cerebral sinus
  • Hemispherotomy
  • Hemorrhage
  • Injury
  • Repair
  • Superior sagittal sinus
  • Technique

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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