Abstract：
INTRODUCTION:Surgical-site infection (SSI) is associated with significant morbidity and mortality. Public Health England or PHE has published guidance on its surveillance, which is now mandatory in some specialities. We review how appropriate their programme is for monitoring SSI in cranial neurosurgery [CN]. METHOD:SSI data on all patients [N = 2375] undergoing CN, over two years, at Salford Royal Foundation NHS Trust or SRFT were prospectively recorded. SSI was defined as arising within 30 days of operation or 1 year where an implant(s) remains. Follow-up, by a dedicated SSI nurse, was at 30 days using inpatient, outpatient clinic or telephone consultation, or post-discharge postal questionnaires [PDpQ] and by monitoring for readmissions. A descriptive analysis was performed looking at the follow-up process and SSI rate. RESULTS:Thirty-day follow-up data was obtained in 1776 patients (74.8%). Overall, 82 (3.5%) patients had a confirmed SSI. 22/82 (27%) were identified as inpatients [median time from operation: 14.5 days, inter-quartile range (IQR): 16] and 60/82 (73%) as readmissions [median time from operation: 31.5 days, IQR: 186.5]. No SSIs were identified via PDpQ. CONCLUSIONS:These data suggest that active outpatient follow-up is not necessary and that monitoring of inpatients and readmissions is enough for a cranial neurosurgical SSI programme.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Davies BM,Jones A,Patel HCdoi
10.3109/02688697.2015.1071321subject
Has Abstractpub_date
2016-01-01 00:00:00pages
35-7issue
1eissn
0268-8697issn
1360-046Xjournal_volume
30pub_type
杂志文章abstract：:Purpose: To investigate the incidence and risk factors of postoperative dysphagia after anterior cervical decompression and fusion (ACDF) in terms of demographic, procedural and anaesthetic perspectives.Materials and methods: Medical records and radiologic data of patients who underwent anterior cervical surgery perfo...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1757037
更新日期：2020-08-01 00:00:00
abstract：:Objective: Contralateral C7 nerve root transfer surgery has been successfully applied to rescue motor function of a hemiplegic upper extremity in patients with central neurological injury. This surgical technique is challenging, and limited anatomical space makes it difficult to manipulate tissues and may lead to high...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2018.1552754
更新日期：2019-08-01 00:00:00
abstract：:Background: To analysis the role of gamma knife radiosurgery (GKRS) in treatment of the recurrent or residual World Health Organization (WHO) grade II and III meningiomas.Methods: Between 1995 and 2015, a total of 1163 meningioma patients were treated with GKRS at our single institute; 26 atypical and 6 anaplastic men...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2020.1726285
更新日期：2020-06-01 00:00:00
abstract：:A subgaleal collection of blood or cerebrospinal fluid (CSF) is commonly encountered after craniotomy. In spite of the placement of subgaleal drains by many neurosurgeons, a collection at this site is frequent and occasionally can result in complications. 'Tenting' scalp stitches are described. Three to four (or more)...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699209023795
更新日期：1992-01-01 00:00:00
abstract：:The previous literature on radiosurgical treatment for craniopharyngioma is sparse, because the involvement of the radiosensitive optic chiasm within the target volume (in most cases) precludes safe high single dosage. The relocatable frame, introduced at St Bartholomew's Hospital in 1989, utilizes the dosimetric adva...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699943448
更新日期：1999-08-01 00:00:00
abstract：:Over a 2-year period, 22 consecutive comatose patients (Glasgow Coma Score of less than or equal to 8) with intraventricular haematomas were managed with prolonged external ventricular drainage via an external one-way valve regulated system. The mean duration of drainage was 12 days. The overall mortality was 23%. Acc...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698809029600
更新日期：1988-01-01 00:00:00
abstract：:Angiographic middle and anterior cerebral artery diameter and transcranial ultrasound flow velocity measurements were performed within 24 h of each other in 102 patients with recent aneurysmal subarachnoid haemorrhage. There was a significant inverse correlation between middle cerebral artery diameter and flow velocit...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699309023812
更新日期：1993-01-01 00:00:00
abstract：:The clinical course of 21 patients who underwent syringopleural shunting for syringomyelia is summarised. All the patients were continuing to deteriorate at the time of the operation. Objective improvement was seen in nine patients following the procedure but three subsequently deteriorated. Contralateral syrinx sympt...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698709034342
更新日期：1987-01-01 00:00:00
abstract：:Venous air embolism (VAE) is a potentially serious complication in neurosurgery. It occurs most commonly during craniotomy in the sitting position. Diagnosis is difficult in awake patients on spontaneous ventilation due to different clinical manifestations. Prompt diagnosis and treatment are essential. We report venou...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690902775538
更新日期：2009-08-01 00:00:00
abstract：:The objective of this paper was to determine the time course and extent of platinum uptake into human malignant glioma tissue. An intraoperative, intravenous infusion of carboplatin was given to nine patients (seven glioblastoma and two anaplastic glioma) undergoing tumour excision. Carboplatin dosage was calculated i...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699943871
更新日期：1999-04-01 00:00:00
abstract：:A case of dysplastic cerebellar gangliocytoma recurring after 20 years and representing with subarachnoid haemorrhage is described. Evidence in favour of a neoplastic pathogenesis is presented. ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688699209002919
更新日期：1992-01-01 00:00:00
abstract：:Intracranial tuberculoma represents the most common mass lesion in neurotuberculosis. We report an unusual case of tuberculoma with haemorrhage presenting clinically as a cerebellar haemorrhage. Cranial CT scan revealed a peripherally enhancing cerebellar mass with haemorrhage and obstructive hydrocephalus, requiring ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690802439110
更新日期：2009-04-01 00:00:00
abstract：:The aim of this study was to analyse and compare published data during the last decade on the different approaches to Parkinson's disease surgery. Eighty-eight papers published between 1990 and 2001 fulfilled the inclusion criteria. Full-text and prospective papers on lesion and stimulation of GPi or STN were assessed...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.1080/02688690410001732625
更新日期：2004-06-01 00:00:00
abstract：INTRODUCTION:Although neurosurgical surgical site infections (SSI) exert a devastating price on the postoperative course of patients in the developing countries, literature is sparse on the subject from these regions. METHODS:This study is an audit of post-craniotomy SSI in a sub-Sahara African academic neurosurgical ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2017.1407746
更新日期：2018-04-01 00:00:00
abstract：:Quality of life (QoL) is regarded as an important outcome measure in meningioma, and studies have investigated the role of various clinical and demographic factors. Epilepsy is known to impair quality of life but the impact of epilepsy on quality of life in a meningioma population is not well defined. The aim of this ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.3109/02688697.2015.1080215
更新日期：2016-01-01 00:00:00
abstract：:Subependymomas are rare benign tumours arising from subependymal glial precursors that usually remain asymptomatic or may present due to obstruction of cerebrospinal fluid pathways. We describe the first report of intraventricular haemorrhage from subependymoma and cavernous-like malformation collision tumour in a 74-...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2017.1390063
更新日期：2019-10-01 00:00:00
abstract：:Despite advances in imaging of the brain, an accurate diagnosis of brain lesions requires tissue sampling and histological verification. A series of CT-directed procedures has been performed in 300 patients with deep sited, multiple, diffuse, extensive, small or inflammatory lesions, brain stem haematomas and tumours ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688698909002810
更新日期：1989-01-01 00:00:00
abstract：:We describe the case of a previously well, 73-year-old male patient who presented with a spontaneous high flow, carotico-cavernous fistula, 1 month following an attack of herpes zoster. We postulate that the zoster virus was the underlying cause, given the history and time frame between the preceding shingles and the ...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688691003634512
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Nerve and muscle biopsy are common procedures often performed by junior surgical trainees. This educational review article describes the operative details of performing biopsies of muscle and nerve. Indications, pre-operative investigations and complication rates are described to aid in proper patient select...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,评审
doi：10.3109/02688697.2013.793288
更新日期：2013-12-01 00:00:00
abstract：:We discuss a spontaneous subdural haematoma (SDH) arising from an arachnoid cyst in a healthy adult male, presenting with headache and vomiting. Imaging revealed a large SDH communicating with an arachnoid cyst and intracystic haemorrhage. The patient fully recovered with surgical evacuation. We also discuss the cause...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2016.1187255
更新日期：2017-10-01 00:00:00
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journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.569037
更新日期：2011-06-01 00:00:00
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journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688699845096
更新日期：1998-06-01 00:00:00
abstract：:An adaptation of bungee jumping, 'bungee running', involves participants attempting to run as far as they can whilst connected to an elastic rope which is anchored to a fixed point. Usually considered a safe recreational activity, we report a potentially life-threatening head injury following a bungee running accident...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.625508
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:Irrigation may elevate the intracranial pressure (ICP) during neuroendoscopic procedures. It is unlikely that rinsing the ventricles during routine endoscopic ventriculostomy causes persistent neurological impairment or damage, but procedures such as the endoscopic evacuation of intraventricular haematomas (...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688697.2011.619596
更新日期：2012-04-01 00:00:00
abstract：:Objective: Meta-analysis to evaluate complications in the use of autogenous bone and bone substitutes and to compare bone substitutes, specifically HA, polyetheretherketone (PEEK) and titanium materials.Methods: Search of PubMed, Cochrane, Embase and Google scholar to identify all citations from 2010 to 2019 reporting...
journal_title：British journal of neurosurgery
pub_type： 杂志文章,meta分析
doi：10.1080/02688697.2020.1742291
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Solitary Fibrous Tumour (SFT) is a rare tumour occurring mainly in the pleural cavity, with less than 100 cases reported in the Central Nervous System, where it typically presents as a meningeal-based lesion. We describe the case of a SFT located in the fourth ventricle and briefly review the pertinent liter...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.3109/02688691003675226
更新日期：2010-08-01 00:00:00
abstract：:Objective: Vaccination therapy using tumour antigen-loaded, autologous dendritic cells (DC) is a promising therapeutic approach alongside standard treatment for glioblastoma (GBM). However, reliable diagnostic criteria regarding therapy monitoring are not established. Here, we analysed the impact of additional 18F-flu...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2019.1639615
更新日期：2019-08-13 00:00:00
abstract：OBJECT:To summarize our experience in treating veins during microvascular decompression (MVD) procedures for idiopathic trigeminal neuralgia (TN). METHODS:A total of 210 patients who underwent single MVD for idiopathic TN were retrospectively studied. The offending vessels were summarized. The treatment choices for ve...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688697.2018.1476674
更新日期：2018-10-01 00:00:00
abstract：:Neurosurgical registrars are frequently called upon by A&E staff and physicians to interpret emergency head CT (computed tomography) scans out of hours. This appears to reflect the reduced threshold for scanning patients and the nonavailability of a radiologist to report these scans. This study was undertaken to asses...
journal_title：British journal of neurosurgery
pub_type： 杂志文章
doi：10.1080/02688690902730723
更新日期：2009-04-01 00:00:00
abstract：:A 64-year-old Caucasian woman presented with left eye pain and a transient left oculomotor nerve palsy. Subsequent imaging revealed a mass involving the sphenoid sinus and sella with suprasellar extension. A trans-sphenoidal hypophysectomy was performed. Histopathology showed a fungal infection consistent with phaeohy...
journal_title：British journal of neurosurgery
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更新日期：2005-10-01 00:00:00
