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SPINA BIFIDA AND INTRASPINAL LIPOMAS
Author(s) -
Bajpai M.
Publication year - 1994
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1994.tb02172.x
Subject(s) - medicine , lipoma , tethered cord , spina bifida , surgery , lumbosacral joint , leak , spinal cord , fibrous joint , cerebrospinal fluid leak , cerebrospinal fluid , pathology , environmental engineering , psychiatry , engineering
Experience with nine consecutive cases of intraspinal lipomas revealed some unreported observations. The results of surgery are discussed with regard to pathology, timing of surgery and a modified surgical technique. Earlier compared to later operative intervention produces less bleeding, shorter operation time, easier removal of softer lipoma and easier reconstruction of conus and cord after removal of mass. Adequate dural cover can always be obtained by stripping off the dura from the fibrofatty stalk of lumbosacral lipoma. Watertight closure of dura prevents cerebrospinal fluid (CSF) leak and is ensured by the use of continuous monofilament suture material such as prolene.