The Pre-operative Embolization of Meningioma Leads to Reduced Operating Time and Less Intraoperative Bleeding

Authors

  • Awais Ali Khan Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Habib Ullah Khan Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Khurshid Ali Bangash Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Shahzad Ahmed Qasmi Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Adeel Ahmed Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Asif Hashmat Department of Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Babar Shamim Department of Surgery, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i3.8978

Keywords:

Intraoperative bleed, Meningioma, Operating time, Pre-operative embolization

Abstract

Objective: To determine the efficacy of pre-operative meningioma embolization in terms of operating time and intraoperative bleeding.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Dec 2020.

Methodology: Twelve diagnosed cases of intracerebral meningioma were included in the study. The patients were diagnosed cases of meningioma as per pre-operative signs and symptoms, radiological confirmation was done with magnetic resonance imaging, and all were subjected to pre-operative embolization of the tumour with catheter advancement in the arterial system and embolizing the target vessels with polyvinyl alcohol particles, followed by craniotomy and excision of the tumour.

Results: The mean age of the patients was 47±672. 24 years. The mean operating time (from the incision to closure) was 96.17±10.23 minutes. In contrast, the intraoperative blood loss was 325.33±15.43 ml. Six (50.00%) individuals had parasagittal meningioma, 4(33.33%) were of cerebral convexity, while 2(16.66%) had lesions at sphenoid wing.

Conclusion: Meningioma is a quite vascular tumour, and the operative outcome can be improved by pre-operative angioembolization. The reduced vascularity makes the resection easier by decreasing the per-op bleed and operating time.
Keywords: Intraoperative bleed, Meningioma, Operating time, Pre-operative embolization.

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Published

26-06-2023

How to Cite

Khan, A. A., Khan, H. U., Bangash, K. A., Qasmi, S. A., Ahmed, S. A., Hashmat, A., & Shamim, B. (2023). The Pre-operative Embolization of Meningioma Leads to Reduced Operating Time and Less Intraoperative Bleeding. Pakistan Armed Forces Medical Journal, 73(3), 905–08. https://doi.org/10.51253/pafmj.v73i3.8978

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