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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Meningioma‐Clinical Study of the Surgical Outcome With and Without Preoperative Embolization

Rajesh Kr. Barooah, Angirash Bhattacharyya, Mrinal Bhuyan, Asman Ali, Ashim Kumar Boro, Nayan Jeet Deka and Gorky Medhi
Page: 148-153 | Received 25 Sep 2024, Published online: 16 Dec 2024

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https://doi.org/10.36478/10.36478/makrjms.2025.1.148.153

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Abstract

Preoperative embolization has been proposed as a strategy to improve surgical outcomes in patients with intra cranial Meningioma. Also, the efficacy and safety of this approach remain controversial. The present study compared surgical outcomes of intra cranial Meningioma with/without preoperative embolization. This prospective, comparative study included 15 patients with intra cranial Meningioma, of which 8 underwent preoperative embolization (embolization grp) and 7 did not (non‐embolization grp). The main outcome was the extent of resection (Simpson grade I‐II). Secondary outcomes included operative time, loss of intraoperative blood, need for blood transfusions and any complications that arose after the surgery. The embolization Grp had a higher complete resection rate (87.5%) Vs. the non‐embolization grp (57.1%). However, this difference was not statistically significant (p=0.176). The embolization grp had a shorter mean operative time (248.8±68.4 minutes) compared to the non‐embolization grp (285.7±75.2 minutes). The embolization grp experienced reduced intraoperative blood loss as well. (425.0±180.6mL) than in the non‐embolization grp (578.6 ± 214.3 mL), but this was not a statistically significant difference (p=0.152). Additionally, the embolization Grp required fewer transfusions (25.0%) Vs the non‐embolization grp (57.1%). Nonetheless, this difference was not statistically significant (p=0.201). The embolization grp also experienced a lower overall complication rate (25.0%) than the non‐embolization grp (42.9%). Preoperative embolization in patients with intra cranial Meningioma may be associated with a greater likelihood of achieving complete resection, shorter surgery duration, reduced intraoperative blood loss and a lower need for transfusions, although these differences were not statistically significant.

How to cite this article:

Rajesh Kr. Barooah, Angirash Bhattacharyya, Mrinal Bhuyan, Asman Ali, Ashim Kumar Boro, Nayan Jeet Deka and Gorky Medhi. Meningioma‐Clinical Study of the Surgical Outcome With and Without Preoperative Embolization.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.148.153
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.148.153