J Neurol Surg B Skull Base 2020; 81(03): 275-279
DOI: 10.1055/s-0039-1688781
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Sellar Diaphragm Reconstruction with Tachosil During Endoscopic Endonasal Surgery: Technical Note

Herbert Daniel Jiménez Zapata
1  Department of Neurosurgery, Hospital Universitario Ramón y Cajal, Madrid, Spain
,
Víctor Rodríguez Berrocal
1  Department of Neurosurgery, Hospital Universitario Ramón y Cajal, Madrid, Spain
,
Carlos Vior Fernández
1  Department of Neurosurgery, Hospital Universitario Ramón y Cajal, Madrid, Spain
,
Franklin Mariño Sánchez
2  Department of Rhinology, Hospital Universitario Ramón y Cajal, Madrid, Spain
,
Alfredo García Fernández
3  Department of Rhinology, Hospital Universitario HM Puerta del Sur, Madrid, Spain
› Author Affiliations
Further Information

Publication History

21 January 2019

23 March 2019

Publication Date:
28 May 2019 (online)

Abstract

This report introduces a new closure technique for the management of intraoperative cerebrospinal fluid (CSF) leakage during endoscopic endonasal surgery. The procedure is based on the combination of a traditional autologous tissue flap with a heterologous fibrin graft (TachoSil). We performed a retrospective analysis on 121 patients with pituitary adenomas treated in our center by the senior neurosurgeon (author V.R.B) in the previous 4 years. Only one patient (0.8%) developed a CSF leakage and no adverse events were found related to the use of TachoSil. Compared with other techniques used previously, sellar diaphragm reconstruction with TachoSil seems to be an effective and inexpensive alternative.