Clinical and anatomical substantiation in predicting vast hemorrhage prior to meningioma surgery

Authors

  • Leonard Chepkiy Romodanov Neurosurgery Institute, Kiev, Ukraine
  • S. Pasko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • Aleksandr Lazun Romodanov Neurosurgery Institute, Kiev, Ukraine
  • L. Petrenko Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

forecasting, prevention, greater blood loss, supratentorial tumors

Abstract

To evaluate the risk of a considerable intraoperative blood loss (і1000 ml) in supratentorial meningioma patients, 140 cases have been analysed. In 60 the hemorrhage exceeded 1000 ml and was less in 80. The analysis has also revealed the major prognostically unfavourable factors increasing the risk of a large blood loss. These were: hypertonic disease or systolic arterial pressure elevation up to above 140 mm Hg during surgery; sizable tumor (> 5 cm in dia.); tumor location in the falciform process; partial tumor removal; excessive hemorrhagic diathesis.

With regard for the above factors it became possible to predict vast hemorrhages and take adequate preventive measures, thereby lowering the incidence of big blood losses by 8%.

References

Ермольев А.И. Прогнозирование и профилактика послеоперационных осложнений при опухолях спинного мозга: Автореф. дис. … канд. мед. наук. — Киев, 1999. — 18 с.

Чепкий Л.П., Ермольев А.И., Слинько Е.И., Пасько С.А. Прогнозирование кровотечений при хирургическом лечении опухолей спинного мозга// Укр. нейрохірургічний журнал. — 2000. — № 2. — С. 108—110.

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How to Cite

Chepkiy, L., Pasko, S., Lazun, A., & Petrenko, L. Clinical and anatomical substantiation in predicting vast hemorrhage prior to meningioma surgery. Ukrainian Neurosurgical Journal, (3), 52–55. Retrieved from https://theunj.org/article/view/56194

Issue

No. 3 (2001)

Section

Original articles

License

Copyright (c) 2001 Leonard Chepkiy, S. Pasko, Aleksandr Lazun, L. Petrenko

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