Prosthesis Used in Microvascular Decompressions: A Multicenter Survey in Japan Focusing on Adverse Events

Mitsuhiro Hasegawa, Toru Hatayama, Akinori Kondo, Shinji Nagahiro, Takamitsu Fujimaki, Kenichi Amagasaki, Kazunori Arita, Isao Date, Yukihiko Fujii, Takeo Goto, Ryosuke Hanaya, Yoshinori Higuchi, Kazuhiro Hongo, Toru Inoue, Hidetoshi Kasuya, Takamasa Kayama, Masatou Kawashima, Eiji Kohmura, Taketoshi Maehara, Toshio MatsushimaYoshihumi Mizobuchi, Akio Morita, Shigeru Nishizawa, Shusaku Noro, Shinjiro Saito, Hirofumi Shimano, Reizo Shirane, Hideo Takeshima, Yuichiro Tanaka, Hidenori Tanabe, Hiroki Toda, Iwao Yamakami, Yuya Nishiyama, Shigeo Ohba, Yuichi Hirose, Takeya Suzuki

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the characteristics of materials used as prostheses for microvascular decompression surgery (MVDs) in Japan and their possible adverse events (AEs) to determine preferable materials for MVDs. Methods: A questionnaire was sent to all members of the Japanese Society for MVDs, and answers were obtained from 59 institutions. Results: Among a total of 2789 MVDs, 1088 operations for trigeminal neuralgia, 1670 for hemifacial spasm, and 31 others, including 117 reoperations, were performed between April 2011 and March 2014. Nonabsorbable material was used in 96.5% of MVDs, including polytetrafluoroethylene (PTFE) (80.5%), polyurethane (11.9%), expanded PTFE (2.1%), and silk thread (1.47%). The use of absorbable materials, including fibrin glue (87.5%), cellulose (13.5%), gelatin (4,77%), and collagen (1.76%), was reported. The major combinations were PTFE with fibrin glue (58.7%) followed by PTFE alone (7.60%). Eighty-eight AEs in 85 (3.2%) cases were reported among 2672 first operations. AEs included 51 central nervous system dysfunctions, 15 wound infections/dehiscence, and 10 others, which were presumed to be related to the intraoperative procedure. Among relatively high-, moderate-, and low-volume centers, there were no significant differences in the frequency of AEs (P = 0.077). Tissue-prosthesis adhesion and/or granuloma formation were reported in 13 cases of 117 reoperations. The incidence of adhesion-related recurrence was 11.1% of all reoperations. Conclusions: The number of AEs was quite low in this survey, and intradural use of any prosthesis reported in this paper might be justified; however, further development of easily handled and less-adhesive prosthesis materials is awaited.

Original languageEnglish
Pages (from-to)e251-e258
JournalWorld Neurosurgery
Volume130
DOIs
Publication statusPublished - 10-2019

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Microvascular Decompression Surgery
Polytetrafluoroethylene
Prostheses and Implants
Japan
Reoperation
Fibrin Tissue Adhesive
Tissue Adhesions
Hemifacial Spasm
Trigeminal Neuralgia
Polyurethanes
Silk
Wound Infection
Gelatin
Granuloma
Cellulose
Adhesives
Collagen
Central Nervous System
Recurrence
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Hasegawa, M., Hatayama, T., Kondo, A., Nagahiro, S., Fujimaki, T., Amagasaki, K., ... Suzuki, T. (2019). Prosthesis Used in Microvascular Decompressions: A Multicenter Survey in Japan Focusing on Adverse Events. World Neurosurgery, 130, e251-e258. https://doi.org/10.1016/j.wneu.2019.06.053
Hasegawa, Mitsuhiro ; Hatayama, Toru ; Kondo, Akinori ; Nagahiro, Shinji ; Fujimaki, Takamitsu ; Amagasaki, Kenichi ; Arita, Kazunori ; Date, Isao ; Fujii, Yukihiko ; Goto, Takeo ; Hanaya, Ryosuke ; Higuchi, Yoshinori ; Hongo, Kazuhiro ; Inoue, Toru ; Kasuya, Hidetoshi ; Kayama, Takamasa ; Kawashima, Masatou ; Kohmura, Eiji ; Maehara, Taketoshi ; Matsushima, Toshio ; Mizobuchi, Yoshihumi ; Morita, Akio ; Nishizawa, Shigeru ; Noro, Shusaku ; Saito, Shinjiro ; Shimano, Hirofumi ; Shirane, Reizo ; Takeshima, Hideo ; Tanaka, Yuichiro ; Tanabe, Hidenori ; Toda, Hiroki ; Yamakami, Iwao ; Nishiyama, Yuya ; Ohba, Shigeo ; Hirose, Yuichi ; Suzuki, Takeya. / Prosthesis Used in Microvascular Decompressions : A Multicenter Survey in Japan Focusing on Adverse Events. In: World Neurosurgery. 2019 ; Vol. 130. pp. e251-e258.
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title = "Prosthesis Used in Microvascular Decompressions: A Multicenter Survey in Japan Focusing on Adverse Events",
abstract = "Objective: To investigate the characteristics of materials used as prostheses for microvascular decompression surgery (MVDs) in Japan and their possible adverse events (AEs) to determine preferable materials for MVDs. Methods: A questionnaire was sent to all members of the Japanese Society for MVDs, and answers were obtained from 59 institutions. Results: Among a total of 2789 MVDs, 1088 operations for trigeminal neuralgia, 1670 for hemifacial spasm, and 31 others, including 117 reoperations, were performed between April 2011 and March 2014. Nonabsorbable material was used in 96.5{\%} of MVDs, including polytetrafluoroethylene (PTFE) (80.5{\%}), polyurethane (11.9{\%}), expanded PTFE (2.1{\%}), and silk thread (1.47{\%}). The use of absorbable materials, including fibrin glue (87.5{\%}), cellulose (13.5{\%}), gelatin (4,77{\%}), and collagen (1.76{\%}), was reported. The major combinations were PTFE with fibrin glue (58.7{\%}) followed by PTFE alone (7.60{\%}). Eighty-eight AEs in 85 (3.2{\%}) cases were reported among 2672 first operations. AEs included 51 central nervous system dysfunctions, 15 wound infections/dehiscence, and 10 others, which were presumed to be related to the intraoperative procedure. Among relatively high-, moderate-, and low-volume centers, there were no significant differences in the frequency of AEs (P = 0.077). Tissue-prosthesis adhesion and/or granuloma formation were reported in 13 cases of 117 reoperations. The incidence of adhesion-related recurrence was 11.1{\%} of all reoperations. Conclusions: The number of AEs was quite low in this survey, and intradural use of any prosthesis reported in this paper might be justified; however, further development of easily handled and less-adhesive prosthesis materials is awaited.",
author = "Mitsuhiro Hasegawa and Toru Hatayama and Akinori Kondo and Shinji Nagahiro and Takamitsu Fujimaki and Kenichi Amagasaki and Kazunori Arita and Isao Date and Yukihiko Fujii and Takeo Goto and Ryosuke Hanaya and Yoshinori Higuchi and Kazuhiro Hongo and Toru Inoue and Hidetoshi Kasuya and Takamasa Kayama and Masatou Kawashima and Eiji Kohmura and Taketoshi Maehara and Toshio Matsushima and Yoshihumi Mizobuchi and Akio Morita and Shigeru Nishizawa and Shusaku Noro and Shinjiro Saito and Hirofumi Shimano and Reizo Shirane and Hideo Takeshima and Yuichiro Tanaka and Hidenori Tanabe and Hiroki Toda and Iwao Yamakami and Yuya Nishiyama and Shigeo Ohba and Yuichi Hirose and Takeya Suzuki",
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language = "English",
volume = "130",
pages = "e251--e258",
journal = "World Neurosurgery",
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Hasegawa, M, Hatayama, T, Kondo, A, Nagahiro, S, Fujimaki, T, Amagasaki, K, Arita, K, Date, I, Fujii, Y, Goto, T, Hanaya, R, Higuchi, Y, Hongo, K, Inoue, T, Kasuya, H, Kayama, T, Kawashima, M, Kohmura, E, Maehara, T, Matsushima, T, Mizobuchi, Y, Morita, A, Nishizawa, S, Noro, S, Saito, S, Shimano, H, Shirane, R, Takeshima, H, Tanaka, Y, Tanabe, H, Toda, H, Yamakami, I, Nishiyama, Y, Ohba, S, Hirose, Y & Suzuki, T 2019, 'Prosthesis Used in Microvascular Decompressions: A Multicenter Survey in Japan Focusing on Adverse Events', World Neurosurgery, vol. 130, pp. e251-e258. https://doi.org/10.1016/j.wneu.2019.06.053

Prosthesis Used in Microvascular Decompressions : A Multicenter Survey in Japan Focusing on Adverse Events. / Hasegawa, Mitsuhiro; Hatayama, Toru; Kondo, Akinori; Nagahiro, Shinji; Fujimaki, Takamitsu; Amagasaki, Kenichi; Arita, Kazunori; Date, Isao; Fujii, Yukihiko; Goto, Takeo; Hanaya, Ryosuke; Higuchi, Yoshinori; Hongo, Kazuhiro; Inoue, Toru; Kasuya, Hidetoshi; Kayama, Takamasa; Kawashima, Masatou; Kohmura, Eiji; Maehara, Taketoshi; Matsushima, Toshio; Mizobuchi, Yoshihumi; Morita, Akio; Nishizawa, Shigeru; Noro, Shusaku; Saito, Shinjiro; Shimano, Hirofumi; Shirane, Reizo; Takeshima, Hideo; Tanaka, Yuichiro; Tanabe, Hidenori; Toda, Hiroki; Yamakami, Iwao; Nishiyama, Yuya; Ohba, Shigeo; Hirose, Yuichi; Suzuki, Takeya.

In: World Neurosurgery, Vol. 130, 10.2019, p. e251-e258.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prosthesis Used in Microvascular Decompressions

T2 - A Multicenter Survey in Japan Focusing on Adverse Events

AU - Hasegawa, Mitsuhiro

AU - Hatayama, Toru

AU - Kondo, Akinori

AU - Nagahiro, Shinji

AU - Fujimaki, Takamitsu

AU - Amagasaki, Kenichi

AU - Arita, Kazunori

AU - Date, Isao

AU - Fujii, Yukihiko

AU - Goto, Takeo

AU - Hanaya, Ryosuke

AU - Higuchi, Yoshinori

AU - Hongo, Kazuhiro

AU - Inoue, Toru

AU - Kasuya, Hidetoshi

AU - Kayama, Takamasa

AU - Kawashima, Masatou

AU - Kohmura, Eiji

AU - Maehara, Taketoshi

AU - Matsushima, Toshio

AU - Mizobuchi, Yoshihumi

AU - Morita, Akio

AU - Nishizawa, Shigeru

AU - Noro, Shusaku

AU - Saito, Shinjiro

AU - Shimano, Hirofumi

AU - Shirane, Reizo

AU - Takeshima, Hideo

AU - Tanaka, Yuichiro

AU - Tanabe, Hidenori

AU - Toda, Hiroki

AU - Yamakami, Iwao

AU - Nishiyama, Yuya

AU - Ohba, Shigeo

AU - Hirose, Yuichi

AU - Suzuki, Takeya

PY - 2019/10

Y1 - 2019/10

N2 - Objective: To investigate the characteristics of materials used as prostheses for microvascular decompression surgery (MVDs) in Japan and their possible adverse events (AEs) to determine preferable materials for MVDs. Methods: A questionnaire was sent to all members of the Japanese Society for MVDs, and answers were obtained from 59 institutions. Results: Among a total of 2789 MVDs, 1088 operations for trigeminal neuralgia, 1670 for hemifacial spasm, and 31 others, including 117 reoperations, were performed between April 2011 and March 2014. Nonabsorbable material was used in 96.5% of MVDs, including polytetrafluoroethylene (PTFE) (80.5%), polyurethane (11.9%), expanded PTFE (2.1%), and silk thread (1.47%). The use of absorbable materials, including fibrin glue (87.5%), cellulose (13.5%), gelatin (4,77%), and collagen (1.76%), was reported. The major combinations were PTFE with fibrin glue (58.7%) followed by PTFE alone (7.60%). Eighty-eight AEs in 85 (3.2%) cases were reported among 2672 first operations. AEs included 51 central nervous system dysfunctions, 15 wound infections/dehiscence, and 10 others, which were presumed to be related to the intraoperative procedure. Among relatively high-, moderate-, and low-volume centers, there were no significant differences in the frequency of AEs (P = 0.077). Tissue-prosthesis adhesion and/or granuloma formation were reported in 13 cases of 117 reoperations. The incidence of adhesion-related recurrence was 11.1% of all reoperations. Conclusions: The number of AEs was quite low in this survey, and intradural use of any prosthesis reported in this paper might be justified; however, further development of easily handled and less-adhesive prosthesis materials is awaited.

AB - Objective: To investigate the characteristics of materials used as prostheses for microvascular decompression surgery (MVDs) in Japan and their possible adverse events (AEs) to determine preferable materials for MVDs. Methods: A questionnaire was sent to all members of the Japanese Society for MVDs, and answers were obtained from 59 institutions. Results: Among a total of 2789 MVDs, 1088 operations for trigeminal neuralgia, 1670 for hemifacial spasm, and 31 others, including 117 reoperations, were performed between April 2011 and March 2014. Nonabsorbable material was used in 96.5% of MVDs, including polytetrafluoroethylene (PTFE) (80.5%), polyurethane (11.9%), expanded PTFE (2.1%), and silk thread (1.47%). The use of absorbable materials, including fibrin glue (87.5%), cellulose (13.5%), gelatin (4,77%), and collagen (1.76%), was reported. The major combinations were PTFE with fibrin glue (58.7%) followed by PTFE alone (7.60%). Eighty-eight AEs in 85 (3.2%) cases were reported among 2672 first operations. AEs included 51 central nervous system dysfunctions, 15 wound infections/dehiscence, and 10 others, which were presumed to be related to the intraoperative procedure. Among relatively high-, moderate-, and low-volume centers, there were no significant differences in the frequency of AEs (P = 0.077). Tissue-prosthesis adhesion and/or granuloma formation were reported in 13 cases of 117 reoperations. The incidence of adhesion-related recurrence was 11.1% of all reoperations. Conclusions: The number of AEs was quite low in this survey, and intradural use of any prosthesis reported in this paper might be justified; however, further development of easily handled and less-adhesive prosthesis materials is awaited.

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