Dural Tenting in Elective Craniotomies: A Randomized Clinical Trial.

ABSTRACT:

Background and objectives

Dural tenting sutures are a well-known neurosurgical technique. However, claims of them preventing extradural hematomas (EDHs) lack evidence-based support. For that reason, we decided to evaluate the noninferiority of routinely not tenting the dura in elective supratentorial craniotomies.

Methods

A randomized, multicenter, investigator-blinded and participant-blinded, controlled interventional trial with 1:1 allocation. We included adults undergoing elective, supratentorial craniotomies. Not tenting the dura was an intervention, and the control group consisted of patients with at least 3 dural tenting sutures. The primary outcome was the risk of reoperation because of EDH, and secondary outcomes included a selection of clinically relevant outcomes.<

SUBMITTER: Przepiorka L 

PROVIDER: S-EPMC12507126 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature