How I do it: shoelace watertight dural closure in extended transsphenoidal surgery

被引：22
作者：
Takeuchi, Kazuhito [1 ]
Nagatani, Tetsuya [2 ]
Wakabayashi, Toshihiko [1 ]
机构：
[1] Nagoya Univ, Grad Sch Med, Dept Neurosurg, Showa Ku, Nagoya, Aichi 4668550, Japan
[2] Nagoya Daini Red Cross Hosp, Dept Neurosurg, Aichi, Japan
来源：
ACTA NEUROCHIRURGICA | 2015年 / 157卷 / 12期
关键词：
Extended transsphenoidal surgery; CSF leakage; Planum sphenoidale; Skull base; Tuberculum sella; Craniopharyngioma; BASE SURGERY; PITUITARY; RECONSTRUCTION; FLAP;
D O I：
10.1007/s00701-015-2612-4
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Skull base reconstruction after extended transsphenoidal surgery is essential to prevent postoperative cerebrospinal fluid leakage. A novel and simple technique for skull base reconstruction termed "shoelace dural closure" was devised. The dura mater was closed with a fat graft using a continuous running suture with both ends of a double-armed suture. The shoelace dural closure is an effective method for achieving watertight closure of the anterior skull base without the use of lumbar drains, fascia lata grafts, or nasoseptal flaps.
引用
收藏
页码：2089 / 2092
页数：4
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