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

M. Shibayama; J. Mizutani; I. Takahashi; S. Nagao; H. Ohta; T. Otsuka

doi:10.1302/0301-620X.90B8.20938

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

M. Shibayama
J. Mizutani
I. Takahashi
S. Nagao
H. Ohta
T. Otsuka

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

Shibayama M, Mizutani J, Takahashi I, Nagao S, Ohta H, Otsuka T. Patch technique for repair of a dural tear in microendoscopic spinal surgery. J Bone Joint Surg Br. 2008;90-B(8):1066-1067. doi:10.1302/0301-620X.90B8.20938

Shibayama, M., et al. “Patch technique for repair of a dural tear in microendoscopic spinal surgery.” The Journal of Bone & Joint Surgery British Volume, vol. 90-B, no. 8, 2008, pp. 1066-1067., https://doi.org/10.1302/0301-620X.90B8.20938

Shibayama, M., Mizutani, J., Takahashi, I., Nagao, S., Ohta, H., & Otsuka, T. (2008). Patch technique for repair of a dural tear in microendoscopic spinal surgery. The Journal of Bone & Joint Surgery British Volume, 90-B(8), 1066-1067. https://doi.org/10.1302/0301-620X.90B8.20938

Shibayama, M., Mizutani, J., Takahashi, I., Nagao, S., Ohta, H. and Otsuka, T. (2008) “Patch technique for repair of a dural tear in microendoscopic spinal surgery.” The Journal of Bone & Joint Surgery British Volume, 90-B(8), pp. 1066-1067. Available at: https://doi.org/10.1302/0301-620X.90B8.20938

Shibayama, M., J. Mizutani, I. Takahashi, S. Nagao, H. Ohta, and T. Otsuka. “Patch technique for repair of a dural tear in microendoscopic spinal surgery.” The Journal of Bone & Joint Surgery British Volume 90-B, no. 8 (2008): 1066-1067. https://doi.org/10.1302/0301-620X.90B8.20938

Shibayama M, Mizutani J, Takahashi I, Nagao S, Ohta H, Otsuka T. Patch technique for repair of a dural tear in microendoscopic spinal surgery. J Bone Joint Surg Br. 2008 Aug 1;90-B(8):1066-1067. https://doi.org/10.1302/0301-620X.90B8.20938

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Abstract

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.

Correspondence should be sent to Dr M. Shibayama; e-mail: moto@toyokawa-ch-aichi.jp

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