Preoperative Lumbar Drain Use During XXXX Surgery and Effect on CSF Leak Incidence.

@entity1 @entity5513 @entity5 @entity4786
OBJECTIVE: To determine if preoperative lumbar drain (LD) use reduces the incidence of postoperative cerebrospinal fluid (CSF) leak in @entity1 undergoing @entity5513 resection. METHODS: Retrospective review of 282 @entity1 presenting for @entity5513 resection between 2005 and 2014. RESULTS: Two hundred and eighty-two @entity1 had a mean @entity5 size of 19.1 mm    10.2 mm. Twenty-nine (10.3%) @entity1 developed a postoperative CSF leak. Two hundred and twenty @entity1 (78.0%) received a preoperative LD, and 20 (9.1%) developed a CSF leak. Sixty-two (22.0%) @entity1 did not receive a preoperative LD, and 9 (14.5%) developed a CSF leak. No significant difference in CSF leak frequency was observed with use versus no use of a LD (P = .23). Fifteen (5.3%) @entity1 with an LD placed had a complication related to the LD. No significant difference in CSF leak frequency was observed with @entity1 age, @entity4786 type-2 diagnosis, @entity5 size, or sidedness. CONCLUSIONS: Postoperative CSF leaks are among the most common complications of @entity5513 microsurgery. No formal guidelines exist for elective placement of a preoperative LD to lower the incidence of CSF leaks. Our reported CSF leak incidence with preoperative LD placement is not significantly lower than without LD use, and there is a complication rate associated with LD use.
