RT Journal Article
SR Electronic
T1 Necessity of dural tenting sutures in modern neurosurgery: protocol for a systematic review
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e027904
DO 10.1136/bmjopen-2018-027904
VO 9
IS 2
A1 Łukasz Przepiórka
A1 Przemysław Kunert
A1 Jarosław Żyłkowski
A1 Jan Fortuniak
A1 Patrycja Larysz
A1 Dariusz Szczepanek
A1 Karol Wiśniewski
A1 Dariusz Jaskólski
A1 Piotr Ładziński
A1 Radosław Rola
A1 Tomasz Trojanowski
A1 Andrzej Marchel
YR 2019
UL http://bmjopen.bmj.com/content/9/2/e027904.abstract
AB Introduction The 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 analysis The 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 dissemination Ethical 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 number CRD42018097089.