Retrospective study demonstrates reduced operative time and less hemostatic agent use in spinal decompression patients, indicating improved surgical efficiency.
Key Points
To evaluate the safety and clinical efficacy of an oxidized cellulose packing technique for controlling epidural venous bleeding during full-endoscopic lumbar decompression surgery.
Retrospectively analyzed 40 patients undergoing lumbar endoscopic unilateral laminectomy for bilateral decompression for central lumbar spinal stenosis at a regional hospital in Taiwan.
Assigned 16 patients (24 levels) to the hemostatic packing group and 24 patients (36 levels) to the conventional control group.
Recorded operative duration, admission and intraoperative mean arterial pressure (MAP), requirement for additional hemostats, and perioperative complications.
Mean operative time was significantly shorter in the packing group compared to controls (72.5 ± 9.7 vs. 89.0 ± 11.6 minutes, P < 0.005).
Additional hemostatic agents were required in 6.25% of packing patients versus 33.3% of control patients (P < 0.005).
Hemostasis was successfully achieved without recurrence across all packing cases, with zero reported dural tears, new-onset neuralgia, or delayed bleeding.