It could occur during the exploration of diaphragmatic recesses, and most of these leaks may stop with no treatment. The incidence of CSF leak increases in patients who had previous surgical interventions, or in patients who have large pituitary adenoma with suprasellar extension. The risk of CSF leak is higher in macroadenomas than microadenomas [10], due to the fact that the surgeon works closer to the diaphragm sellae and the subarachnoid space in these cases. So, it is important to detect the tear in the diaphragma sella and/or arachnoid membrane during the surgery and seal it [14]. In this study, any intraoperative CSF leak was repaired intraoperatively as soon as it was detected by abdominal fat and sealed by fibrin glue. Postoperative CSF leak occurred in 2 patient (6.6%), 1 case endoscopic reexploration operation was done an leak point is define and reconstructed by fat and surgicell. the other case leak was minor and it stopped spontaneously after one week of conservative treatment in the form of dehydrating measures and lying flat in bed .table 3and 3a show complications in different published series and the current
It could occur during the exploration of diaphragmatic recesses, and most of these leaks may stop with no treatment. The incidence of CSF leak increases in patients who had previous surgical interventions, or in patients who have large pituitary adenoma with suprasellar extension. The risk of CSF leak is higher in macroadenomas than microadenomas [10], due to the fact that the surgeon works closer to the diaphragm sellae and the subarachnoid space in these cases. So, it is important to detect the tear in the diaphragma sella and/or arachnoid membrane during the surgery and seal it [14]. In this study, any intraoperative CSF leak was repaired intraoperatively as soon as it was detected by abdominal fat and sealed by fibrin glue. Postoperative CSF leak occurred in 2 patient (6.6%), 1 case endoscopic reexploration operation was done an leak point is define and reconstructed by fat and surgicell. the other case leak was minor and it stopped spontaneously after one week of conservative treatment in the form of dehydrating measures and lying flat in bed .table 3and 3a show complications in different published series and the current