Necessity of dural tenting sutures in modern neurosurgery: protocol for a systematic review

IntroductionThe ongoing need for dural tenting sutures in a contemporary neurosurgical practice has been questioned in the literature for over two decades. In the past, these sutures were supposed to prevent blood collecting in the potential space between the skull and the dura by elevating the latt...

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Bibliographic Details
Published in:BMJ open 2019-02, Vol.9 (2), p.e027904-e027904
Main Authors: Przepiórka, Łukasz, Kunert, Przemysław, Żyłkowski, Jarosław, Fortuniak, Jan, Larysz, Patrycja, Szczepanek, Dariusz, Wiśniewski, Karol, Jaskólski, Dariusz, Ładziński, Piotr, Rola, Radosław, Trojanowski, Tomasz, Marchel, Andrzej
Format: Article
Language:English
Subjects:
Bibliographic data bases
Craniotomy - adverse effects
Dura Mater - surgery
Evidence Based Practice
Evidence-based medicine
Fistula
Handbooks
Hematoma, Epidural, Cranial - prevention & control
Humans
Intervention
Mortality
Neurosurgery
Neurosurgery - trends
Postoperative Hemorrhage - prevention & control
Research Design
Surgery
Suture Techniques
Systematic review
Systematic Reviews as Topic
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Summary:IntroductionThe ongoing need for dural tenting sutures in a contemporary neurosurgical practice has been questioned in the literature for over two decades. In the past, these sutures were supposed to prevent blood collecting in the potential space between the skull and the dura by elevating the latter. Theoretically, with modern haemostasis and proper postoperative care, this technique should not be necessary and the surgery time can be shortened. Unfortunately, there is no evidence-based proof to either support or reject this hypothesis.Methods and analysisThe systematic review will be performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and The Cochrane Handbook for Systematic Reviews of Interventions. Eight electronic databases of peer-reviewed journals will be searched, as well as other sources. Eligible articles will be assessed against inclusion criteria. The intervention is not tenting the dura and this will be compared with the usual dural tenting sutures. Where possible, ‘summary of findings’ tables will be generated.Ethics and disseminationEthical committee approval is not required for a systematic review protocol. Findings will be presented at international neurosurgical conferences and published in a peer-reviewed medical journal.PROSPERO registration numberCRD42018097089.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2018-027904