Salvage of infected craniotomy bone flaps with the wash-in, wash-out indwelling antibiotic irrigation system. Technical note and case series of 12 patients

Journal of Neurosurgery

Volumn 105, Issue 4, 2006, Pages 640-644

  Auguste, Kurtis I ^a   McDermott, Michael W ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Antibiotic therapy; Bone flap; Craniotomy; Infection; Irrigation

Indexed keywords

ANTIBIOTIC AGENT; ASCORBIC ACID; CLINDAMYCIN; COTRIMOXAZOLE; HYDROGEN PEROXIDE; POVIDONE IODINE; RETINOL; VANCOMYCIN; ZINC;

ADULT; AGED; ANTIBIOTIC THERAPY; CLINICAL ARTICLE; CONTROLLED STUDY; CRANIOTOMY; DEBRIDEMENT; FEMALE; HUMAN; LAVAGE; MALE; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; REVIEW; SURGICAL TECHNIQUE; TISSUE FLAP;

ADULT; AGED; ANTI-BACTERIAL AGENTS; BACTERIAL INFECTIONS; BONE TRANSPLANTATION; BRAIN NEOPLASMS; CATHETERS, INDWELLING; CRANIOTOMY; DEBRIDEMENT; DRAINAGE; FEMALE; GLIOMA; HUMANS; IRRIGATION; MALE; MENINGEAL NEOPLASMS; MENINGIOMA; MIDDLE AGED; RETROSPECTIVE STUDIES; SURGICAL WOUND INFECTION;

EID: 33749523214     PISSN: 00223085     EISSN: 00223085     Source Type: Journal    
DOI: 10.3171/jns.2006.105.4.640     Document Type: Review

References (16)

1. Balch RE: Wound infections complicating neurosurgical procedures. J Neurosurg 26:41-45, 1967
2. Blomstedt GC: Infections in neurosurgery: a retrospective study of 1143 patients and 1517 operations. Acta Neurochir (Wien) 78:81-90, 1985
3. Blomstedt GC, Kytta J: Results of a randomized trial of vancomycin prophylaxis in craniotomy. J Neurosurg 69:216-220, 1988
4. Bruce JN, Bruce SS: Preservation of bone flaps in patients with postcraniotomy infections. J Neurosurg 98:1203-1207, 2003
5. Chou SN, Erickson DL: Craniotomy infections. Clin Neurosurg 23:357-362, 1976
6. Erickson DL, Seljeskog EL, Chou SN: Suction-irrigation treatment of craniotomy infections. Technical note. J Neurosurg 41:265-267, 1974
7. Gaillard T, Gilsbach JM: Intra-operative antibiotic prophylaxis in neurosurgery. A prospective, randomized, controlled study on cefotiam. Acta Neurochir (Wien) 113:103-109, 1991
8. Garrido E: Closed irrigation-suction technique in the treatment of lumbar laminectomy infection: case report. Neurosurgery 5:354-355, 1979
9. Garrido E, Rosenwasser RH: Experience with the suction-irrigation technique in the management of spinal epidural infection. Neurosurgery 12:678-679, 1983
10. Hlavin ML, Kaminski HJ, Fenstermaker RA, White RJ: Intracranial suppuration: a modern decade of postoperative subdural empyema and epidural abscess. Neurosurgery 34:974-981, 1994
11. Jallo GI, Koslow M, Hanna BA, Carson LA: Propionibacterium as a cause of postneurosurgical infection in patients with dural allografts: report of three cases. Neurosurgery 44:1138-1141, 1999
12. Korinek AM: Risk factors for neurosurgical site infections after craniotomy: a prospective multicenter study of 2944 patients. The French Study Group of Neurosurgical Infections, the SEHP, and the C-CLIN Paris-Nord. Service Epidemiologie Hygiene et Prevention. Neurosurgery 41:1073-1081, 1997
13. Levi AD, Dickman CA, Sonntag VK: Management of postoperative infections after spinal instrumentation. J Neurosurg 86:975-980, 1997
14. Mollman HD, Haines SJ: Risk factors for postoperative neurosurgical wound infection. A case-control study. J Neurosurg 64:902-906, 1986
15. Ross V: Micronutrient recommendations for wound healing. Support Line 24:3-9, 2002
16. Tenney JH, Vlahov D, Salcman M, Ducker TB: Wide variation in risk of wound infection following clean neurosurgery. Implications for perioperative antibiotic prophylaxis. J Neurosurg 62:243-247, 1985