Lumbosacral lipoma: traction bipolar coagulation dissection
https://doi.org/10.14531/ss2020.4.77-84
Abstract
Objective. To analyze the technique of traction bipolar coagulation dissection (strip technique), to assess its effectiveness and safety in surgery for removal of lumbosacral lipomas of various types.
Material and Methods. The study involved 39 patients (the follow-up period was 1 year) operated on for removal of lumbosacral lipoma using the method of traction bipolar coagulation dissection. The 3D models of lumbosacral lipomas before and after surgery were created based on neuroimaging data, the neurological status before and after surgery was assessed using the SBNS scale, and the results of intraoperative neurophysiological monitoring were analyzed.
Results. A decrease in the volume of lumbosacral lipomas by 95.0 % was achieved in all patients, the volume after surgery was less than 1 cm3 (p < 0.01). Positive dynamics of neurologic status according to the SBNS scale was observed in 94.9 % of patients (p < 0.01). Motor evoked potentials remained unchanged throughout surgery in most patients. No false negative results of intraoperative neurophysiological monitoring were obtained.
Conclusion. Traction bipolar coagulation dissection is an effective and safe method of surgical treatment of lumbosacral lipomas allowing the safest and most complete removal of lipomatous tissue, as well as improving the functional state of patients.
About the Authors
A. A. Sufianov
Federal Сentre of Neurosurgery
Russian Federation
Russian Federation
Albert Akramovich Sufianov, DMSc, Prof., Chief physician, Federal Сentre of Neurosurgery, 5 4-th km Chervishevskogo trakta str, Tyumen, 625032, Russia,
ORCID: 0000-0001-7580-0385, info@fcn-tmn.ru;
M. R. Gizatullin
Federal Сentre of Neurosurgery
Russian Federation
Russian Federation
Marat Rimovich Gizatullin, MD, Pediatric neurosurgical department
5 4-th km Chervishevskogo trakta str, Tyumen, 625032, Russia
I. S. Sheliagin
Federal Сentre of Neurosurgery
Russian Federation
Russian Federation
Ivan Sergeyevich Sheliagin, resident
5 4-th km Chervishevskogo trakta str, Tyumen, 625032, Russia
V. V. Sidorenko
Federal Сentre of Neurosurgery
Russian Federation
Russian Federation
Valentina Vasilyevna Sidorenko, resident
5 4-th km Chervishevskogo trakta str, Tyumen, 625032, Russia
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Review
For citations:
Sufianov A.A., Gizatullin M.R., Sheliagin I.S., Sidorenko V.V. Lumbosacral lipoma: traction bipolar coagulation dissection. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2020;17(4):77-84. https://doi.org/10.14531/ss2020.4.77-84
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