20 minuuttia jälkimietteitä*) maaottelusta (Urho Kekkosen radiojuttu t.k. 18 päivänä)

Urho Kekkosen radiopuhe 18.9.1929

Tal på hundraårsdagen av K. J. Ståhlbergs födelse (28.1.1965 i Helsingfors)

Puhe

Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors.

A significant postoperative problem in patients undergoing excision of intramedullary tumors is painful dysesthesiae, attributed to various causes, including edema, arachnoid scarring and cord tethering. The authors describe a technique of welding the pia and arachnoid after the excision of intramedullary spinal cord tumors used in seven cases. Using a fine bipolar forcep and a low current, the pial edges of the myelotomy were brought together and welded under saline irrigation. A similar method was used for closing the arachnoid while the dura was closed with a running 5-0 vicryl suture. Closing the pia and arachnoid restores normal cord anatomy after tumor excision and may reduce the incidence of postoperative painful dysesthesiae.