Use of self-closing U-clips for dural repair in mini-invasive surgery for herniated disc.
Acta Neurochir (Wien)
; 150(10): 1103-5, 2008 Oct.
Article
in En
| MEDLINE
| ID: mdl-18806922
ABSTRACT
OBJECT The feasibility of a new technique of dural repair (self-closing U-clips) in mini-invasive surgery for herniated disk is demonstrated in this case report. MATERIALS AND METHODS:
A 44-year-old male patient underwent lumbar microdiscectomy at out Institute, with subsequent dural leak as surgical complication; the dural leak re-appeared even after a second intervention in which we used muscle and dural graft and fibrin glue to repair the leak. We then decided to employ self-closing nitinol- U-clip to achieve primary dural closure.RESULTS:
After the intervention the patient no more presented signs or symptoms due to the unintended durotomy, and the postoperative course was uneventful.CONCLUSION:
Self-closing nitinol U-clips (Medtronic, Inc., Minneapolis) can be used for closing a dural tear through a mini-invasive approach that could make a conventional microsuturing technique very difficult.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Surgical Instruments
/
Neurosurgical Procedures
/
Dura Mater
/
Intervertebral Disc Displacement
/
Lumbar Vertebrae
Type of study:
Etiology_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Acta Neurochir (Wien)
Year:
2008
Document type:
Article