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CC BY-NC-ND 4.0 · Asian J Neurosurg
DOI: 10.1055/s-0044-1788682
Original Article

Prediction of Intraoperative Blood Loss during Surgery of Brain Meningiomas

Gayrat Eshkuvvatov
1   Department of Skull Base Surgery, Republican Specialized Scientific-Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
,
Ulugbek Asadullayev
2   Republican Specialized Scientific-Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
,
Jakhongir Yakubov
1   Department of Skull Base Surgery, Republican Specialized Scientific-Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
,
Dilshod Khodjimetov 
1   Department of Skull Base Surgery, Republican Specialized Scientific-Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
,
Khabibullo Khasanov 
3   Department of Traumatology, Orthopedics, Military-field Surgery, and Neurosurgery, Tashkent Medical Academy, Tashkent, Uzbekistan
› Author Affiliations Funding None.
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Abstract

Background The utilization of preoperative embolization is a well-established method for reducing intraoperative blood loss during surgery of meningiomas. However, the exact indications and contraindications for this technique remain controversial.

Objective The objective of this study is to determine the indications for preoperative embolization of brain meningiomas.

Materials and Methods A retrospective analysis of 46 patients who underwent surgical resection of intracranial meningioma from 2020 to the end of 2022 was conducted. Preoperative magnetic resonance imaging (MRI) and computed tomography (CT) data were studied to assess their relationship with the volume of intraoperative blood loss.

Results Invasive tumor growth and bone involvement (erosion, hyperostosis) were found to be the most significant factors influencing intraoperative blood loss (p = 0.001).

Conclusion This study clearly demonstrates an association between preoperative imaging data and intraoperative blood loss, which may be useful in predicting massive bleeding during surgery.

Keywords

meningioma - blood loss risk factors - blood loss prognosis - embolization - bleeding


Publication History

Article published online:
24 July 2024

© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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