Patch technique for repair of a dural tear in microendoscopic spinal surgery.
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.
Shibayama
M
M
Department of Orthopaedic Surgery, Toyokawa City Hospital, Koumei 1-19, Toyokawa City, Aichi 442-8561, Japan. moto@toyokawa-ch-aichi.jp
Mizutani
J
J
Takahashi
I
I
Nagao
S
S
Ohta
H
H
Otsuka
T
T
D000368:Aged; D000369:Aged, 80 and over; D002555:Cerebrospinal Fluid; D004388:Dura Mater / Q000293:injuries* / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive; D006801:Humans; D008297:Male; D008875:Middle Aged; D011098:Polyglactin 910 / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000601:surgery*; D013130:Spinal Stenosis / Q000601:surgery*; D013536:Suture Techniques / Q000592:standards; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D011098:Polyglactin 910