Cerebrospinal fluid leak hospital7/2/2023 ![]() ![]() Furthermore, CSF leaks in open surgery have a higher probability of requiring lumbar drainage or reoperation to repair the durotomy.ĬSF leak Cerebral spinal fluid leak Discectomy Durotomy Laminectomy Minimally invasive surgery Spine surgery.Ĭopyright © 2014 Elsevier Inc. In this study, there was a statistically significant decreased rate of CSF leak between an MISS approach and an open surgical approach. Patients undergoing MISS had significantly lower reoperation rates for CSF leak repairs (open = 25% of open CSF leak cases, MISS = 0%, P <. Patients undergoing open spine surgery were 2 times more likely to have a CSF leak (odds ratio = 2.3, 95% confidence interval = 1.2 to 3.7, P =. Twelve patients required reoperation for persistent CSF leak in the open group, compared to zero patients in the MISS group. ![]() Eight patients in the open group required lumbar drainage, compared to zero patients in the MISS group. In the MISS group there were 15 CSF leaks (4.7%), and 49 CSF leaks (9.0%) in the open group. Statistical analyses include univariate analysis (Student t test, analysis of variance, odds ratio, χ(2)) and bivariate analysis (logistic regression). Variables assessed included operative time, blood loss, CSF leaks, hospital stay, days with lumbar drain, days of postoperative flat bed rest, and postoperative intervention. This study sought to compare the rate and clinical impact of CSF leak in open lumbar foraminotomy, discectomy, or laminectomy with comparable MISS approaches.Ī total of 863 patients undergoing 1- or 2-level discectomy, foraminotomy, or laminectomy by either MISS an open technique were evaluated for CSF leaks. However, the rate of cerebrospinal fluid (CSF) leaks with both techniques has not been well established in the literature. "We want thank Toronto Fire, Police, Enbridge and the teams at Michael Garron Hospital for their speedy reaction.We'd also like to apologize to the patients and staff of the hospital, residents of the community and anyone else affected.Minimally invasive spine surgery (MISS) techniques have similar long-term outcomes compared to open surgery for patients undergoing 1- or 2-level discectomy, foraminotomy, or laminectomy. "A full investigation is underway to better understand the exact cause," the statement read. In a statement, EllisDon said one of the subcontractors working on the grounds struck a gas line, which caused the leak. He confirmed that construction company EllisDon is currently carrying out renovations at the hospital. “It did not involve any hospital staff,” he told reporters. Klassen said they do not yet know the circumstances that led up to the incident. He noted that the hospital will work to reschedule any appointments that were missed by people who were unable to access the site. Wolf Klassen, the interim president and CEO of Michael Garron Hospital, said none of the approximately 500 patients inside the facility were moved as a result of the gas leak. The gas intake valves to the hospital were shut off along with the hospital’s ventilation system in order to prevent gas from getting inside the building, officials said. ![]() “At no time did we detect gas readings inside or outside the hospital that would cause us concern.” There was no risk to the East York Civic Centre or any person in the hospital,” Jessop said. He added that the safety of the public was never at risk. “Everybody did everything could, as safely as they could, and as quickly as they could,” Jessop told reporters at the scene on Tuesday afternoon. The East York Civic Centre was evacuated as a precaution.Ī command post was set up at Sammon and Coxwell avenues and TTC buses were on site for residents displaced by the gas leak.Īt around 1 p.m., Toronto Fire Chief Jim Jessop confirmed that Enbridge had successfully capped the leak and residents could return home. Patients and staff were able to remain inside the hospital but the emergency department temporarily redirected new admissions to other hospitals. Toronto police shut down roads in the area and urged members of the public to steer clear of the situation.ĭozens of homes in the area were evacuated and students at nearby RH McGregor Elementary School were asked to shelter in place. Ten fire crews and a hazardous material team responded to the scene, pouring water on the line to disperse the gas. Doctors who treat Cerebrospinal Fluid Leak (CSF Leak) in this region have an average rating of 4.4 stars. Browse through a selection of 277 Doctors who treat Cerebrospinal Fluid Leak (CSF Leak) around Philadelphia, PA. Toronto Fire said construction crews working outside the hospital, located at Coxwell and Mortimer avenues, ruptured a natural gas line at around 9:30 a.m. We found 277 doctors who treat Cerebrospinal Fluid Leak in Philadelphia. Evacuation orders have now been lifted for residents in the city’s east end after crews capped a significant gas leak at the entrance to Michael Garron Hospital’s emergency department. ![]()
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