{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:44:52Z","timestamp":1781916292673,"version":"3.54.5"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nFat is commonly used for preventing cerebrospinal fluid (CSF) leakage during endoscopic transsphenoidal surgery (ETSS). However, fat is soft, slippery, and sometimes not easy to handle. The present study aimed to examine the efficacy of our Surgicel\u00ae<\/jats:sup> wrapping method, which allows for better fat handling, in preventing the occurrence of CSF leakage among patients undergoing ETSS.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nWe used fat tissues removed from the abdomen. The fat was cut with scissors into pieces that were approximately 5 mm in size. Surgicel\u00ae<\/jats:sup> was also cut into 2.5 cm2<\/jats:sup>. The fat tissues were encased with these Surgicel\u00ae<\/jats:sup> squares and slightly moistened with a saline solution.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nBetween January 2023 and August 2024, 34 patients aged 18\u201386 years (average 54.9 years) underwent ETSS. Among these patients, 20 had pituitary tumors, 6 had Rathke\u2019s cysts, and 8 had other conditions. None of the patients had CSF leakage postoperatively. The use of Surgicel\u00ae<\/jats:sup>-wrapped fat during ETSS is better than the use of fat alone.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe Surgicel\u00ae<\/jats:sup> wrapping method allows for better fat handling during ETSS.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_626_2024","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T09:25:54Z","timestamp":1729848354000},"page":"390","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Wrapping method for better fat handling in endoscopic trans-sphenoidal surgery"],"prefix":"10.25259","volume":"15","author":[{"given":"Fumihiro","family":"Matano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeyuki","family":"Tahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Hattori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Nounaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koshiro","family":"Isayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Teramoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Morita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,10,25]]},"reference":[{"key":"10.25259\/SNI_626_2024\/ref-1","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1055\/s-0040-1712179","article-title":"Surgical experience in prevention of postoperative CSF leaks using abdominal fat grafts in endoscopic endonasal transsphenoidal surgery for pituitary adenomas","volume":"82","author":"Ahn","year":"2021","journal-title":"J Neurol Surg B Skull Base"},{"key":"10.25259\/SNI_626_2024\/ref-2","first-page":"425","article-title":"Impact of 4K ultra-high definition endoscope in pituitary surgery: Analysis of a comparative institutional case series","volume":"66","author":"D\u2019Alessandris","year":"2022","journal-title":"J Neurosurg Sci"},{"key":"10.25259\/SNI_626_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1016\/j.wneu.2015.08.025","article-title":"Cranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery","volume":"84","author":"Hara","year":"2015","journal-title":"World 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Geka"},{"key":"10.25259\/SNI_626_2024\/ref-7","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.3390\/jcm11071753","article-title":"Preliminary clinical surgical experience with temporary simultaneous use of an endoscope during exoscopic neurosurgery: An observational study","volume":"11","author":"Murai","year":"2022","journal-title":"J Clin Med"},{"key":"10.25259\/SNI_626_2024\/ref-8","doi-asserted-by":"crossref","first-page":"1895","DOI":"10.1002\/lary.29939","article-title":"Three-dimensional endoscopic endonasal surgery: A systematic review","volume":"132","author":"Nassimizadeh","year":"2022","journal-title":"Laryngoscope"},{"key":"10.25259\/SNI_626_2024\/ref-9","doi-asserted-by":"crossref","first-page":"E573","DOI":"10.1093\/ons\/opaa212","article-title":"Collagen matrix with mucoperiosteum graft as an effective fatless flapless reconstruction after endoscopic pituitary adenoma resection","volume":"19","author":"Shahein","year":"2020","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"10.25259\/SNI_626_2024\/ref-10","doi-asserted-by":"crossref","first-page":"923","DOI":"10.3171\/2020.6.JNS192775","article-title":"The role of indocyanine green fluorescence in endoscopic endonasal skull base surgery and its imaging correlations","volume":"135","author":"Shahein","year":"2020","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_626_2024\/ref-11","doi-asserted-by":"crossref","first-page":"107131","DOI":"10.1016\/j.clineuro.2022.107131","article-title":"Collagen sponge is as effective as autologous fat for grade 1 intraoperative cerebral spinal fluid leakage repair during transsphenoidal surgery","volume":"214","author":"Shen","year":"2022","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_626_2024\/ref-12","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1186\/s12883-021-02440-0","article-title":"Risk factors for postoperative cerebrospinal fluid leakage after transsphenoidal surgery for pituitary adenoma: A meta-analysis and systematic review","volume":"21","author":"Zhou","year":"2021","journal-title":"BMC Neurol"}],"container-title":["Surgical Neurology 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