Patch technique for repair of a dural tear in microendoscopic spinal surgery

被引：22

作者：

Shibayama, M. ^{[1
]}

Mizutani, J. ^{[1
]}

Takahashi, I. ^{[1
]}

Nagao, S. ^{[1
]}

Ohta, H. ^{[1
]}

Otsuka, T. ^{[1
]}

机构：

[1] Toyokawa City Hosp, Aichi, Japan

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2008年 / 90B卷 / 08期

关键词：

D O I：

10.1302/0301-620X.90B8.20938

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A dural tear is a common but troublesome complication of endoscopic spinal surgery. The limitations of space make repair difficult, and it is often necessary to proceed to an open operation to suture the dura in order to prevent leakage of cerebrospinal fluid. We describe a new patch technique in which a small piece of polyglactin 910 is fixed to the injured dura with fibrin glue. Three pieces are generally required to obtain a watertight closure after lavage with saline. We have applied this technique in seven cases. All recovered well with no adverse effects. MRI showed no sign of leakage of cerebrospinal fluid.

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页码：1066 / 1067

页数：2

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