{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T05:36:17Z","timestamp":1793252177614,"version":"4.5.0"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDelayed cerebrospinal fluid (CSF) leaks are a known complication following intradural spinal tumor surgery. The placement of subfascial drains in these patients undergoing requisite intradural surgery is controversial. Here, we demonstrated that placing a subfascial drain on partial suction for 48 h, with early ambulation, proved to be safe and effective in preventing early\/delayed recurrent CSF fistulas.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nMedical records of 17 patients undergoing surgery for intradural spinal tumors over a 30-month were reviewed. All patients underwent intradural tumor resection followed by primary dural closure, placement of Gelfoam in a non-compressive fashion, application of fibrin sealant, and utilization of a subfascial drain placed on partial suction for 48 h postoperatively. Patients are mobilized the morning following surgery. We tracked the incidence of postoperative recurrent CSF leaks, over drainage, infection, wound dehiscence, pseudo meningocele formation, and the reoperation rate.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nFor the 17 patients, our programmed average utilization of subfascial drains was 48 h. Moreover, the average drain output was 165 mL. Over the 1-year follow-up period, no patient developed a recurrent early\/ delayed CSF leak, there were no wound complications, nor need for revision surgery.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nUtilizing subfascial drains on partial suction following the resection of intradural spinal tumors with primary dural closure proved to be safe and effective.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_934_2023","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T06:40:46Z","timestamp":1705041646000},"page":"8","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Subfascial drains are safe and effective in preventing postoperative cerebrospinal fluid leaks after intradural spine tumor surgery"],"prefix":"10.25259","volume":"15","author":[{"given":"Julie","family":"Mayeku","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esteban","family":"Quiceno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Cannata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Barbagli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Dholaria","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix\/Banner University Medical Center, Arizona, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Prim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, Arizona, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali A.","family":"Baaj","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, University of Arizona, Phoenix, Arizona, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"10.25259\/SNI_934_2023\/ref-1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.cjtee.2016.01.008","article-title":"Subfascial drainage for management of cerebrospinal fluid leakage after posterior spine surgery-a prospective study based on Poiseuille\u2019s law","volume":"19","author":"Fang","year":"2016","journal-title":"Chin J Traumatol"},{"key":"10.25259\/SNI_934_2023\/ref-2","doi-asserted-by":"crossref","first-page":"959533","DOI":"10.3389\/fsurg.2022.959533","article-title":"Cerebrospinal fluid leaks following intradural spinal surgery-risk factors and clinical management","volume":"9","author":"Lenschow","year":"2022","journal-title":"Front Surg"},{"key":"10.25259\/SNI_934_2023\/ref-3","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1055\/s-0036-1582392","article-title":"Postoperative cerebrospinal fluid leak rates with subfascial epidural drain placement after intentional durotomy in spine surgery","volume":"6","author":"Niu","year":"2016","journal-title":"Glob Spine J"},{"key":"10.25259\/SNI_934_2023\/ref-4","doi-asserted-by":"crossref","first-page":"338","DOI":"10.14245\/ns.1836042.021","article-title":"Intraoperative cerebrospinal fluid leak in extradural spinal tumor surgery","volume":"15","author":"Ropper","year":"2018","journal-title":"Neurospine"},{"key":"10.25259\/SNI_934_2023\/ref-5","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1227\/00006123-199202000-00015","article-title":"Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial\/spinal cerebrospinal fluid fistula","volume":"30","author":"Shapiro","year":"1992","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_934_2023\/ref-6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.3171\/2014.3.SPINE13719","article-title":"Management of intended durotomy in minimally invasive intradural spine surgery: Clinical article","volume":"21","author":"Tan","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_934_2023\/ref-7","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.wneu.2011.05.058","article-title":"The role of drains in lumbar spine fusion","volume":"77","author":"Walid","year":"2012","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_934_2023\/ref-8","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.clineuro.2018.04.017","article-title":"Management of iatrogenic spinal cerebrospinal fluid leaks: A cohort of 124 patients","volume":"170","author":"Woodroffe","year":"2018","journal-title":"Clin Neurol Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/subfascial-drains-are-safe-and-effective-in-preventing-postoperative-cerebrospinal-fluid-leaks-after-intradural-spine-tumor-surgery\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/subfascial-drains-are-safe-and-effective-in-preventing-postoperative-cerebrospinal-fluid-leaks-after-intradural-spine-tumor-surgery\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T06:40:50Z","timestamp":1705041650000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/subfascial-drains-are-safe-and-effective-in-preventing-postoperative-cerebrospinal-fluid-leaks-after-intradural-spine-tumor-surgery\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,12]]},"references-count":8,"alternative-id":["10.25259\/SNI_934_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_934_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1,12]]},"article-number":"8"}}