Endoscopic double line suture repair technique for repairing Iatrogenic dural tear: a technical case report.

IF 2.6 3区 医学 Q2 CLINICAL NEUROLOGY European Spine Journal Pub Date : 2024-11-01 Epub Date: 2024-06-27 DOI:10.1007/s00586-024-08383-7
Runhan Zhao, Ningdao Li, Jun Zhang, Xiaoji Luo, Xifeng Zhang
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Abstract

Purpose: Introducing a suture repair technology, endoscopic double line suture repair technique, for iatrogenic dural injury during Percutaneous Endoscopic Lumbar Discectomy (PELD) surgery.

Methods: A patient with dural injury and cauda equina herniation during PELD surgery was treated with endoscopic double line suture repair technique.

Results: A patient with dural injury and cauda equina nerve herniation during PELD surgery was successfully treated using double-line suture technique. After the repair, no obvious cerebrospinal fluid leakage and cauda equina nerve re-herniation was seen. During the postoperative observation period, the wound healed well and there were no complications related to cerebrospinal leakage. During the follow-up period (1 year), the patient reported significant symptom relief and no complications.

Conclusion: This novel dural repair technology is safe and effective and can be used to treat dural injuries during PELD surgery.

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修复先天性硬膜撕裂的内窥镜双线缝合修复技术:一份技术病例报告。
目的:介绍一种缝合修复技术--内窥镜双线缝合修复技术,用于治疗经皮内窥镜腰椎间盘切除术(PELD)手术中的先天性硬膜损伤:方法:采用内窥镜双线缝合修复技术治疗一名在经皮内窥镜腰椎间盘切除术(PELD)手术中硬膜损伤和马尾神经疝的患者:结果:采用双线缝合技术成功治疗了一名在 PELD 手术中硬膜损伤和马尾神经疝的患者。修复后,未见明显脑脊液漏和马尾神经再疝。术后观察期间,伤口愈合良好,未出现与脑脊液漏相关的并发症。随访期间(1 年),患者症状明显缓解,未出现并发症:结论:这种新型硬膜修复技术安全有效,可用于治疗 PELD 手术中的硬膜损伤。
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来源期刊
European Spine Journal
European Spine Journal 医学-临床神经学
CiteScore
4.80
自引率
10.70%
发文量
373
审稿时长
2-4 weeks
期刊介绍: "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe
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