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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Quick and simple dural threading technique for transsphenoidal surgery - dural tenting, haemostasis and skull base
Kazuhito Takeuchi1, Yuichi Nagata2, Kuniaki Tanahashi2
1Department of Neurosurgery, Nagoya University Graduate School of Medicine, 65 Turumai-cho, Nagoya City, , Aichi, 466-8550, Japan. ktakeuchi@med.nagoya-u.ac.jp.
Background:
Dural suturing is one of the most robust reconstruction methods in transsphenoidal surgery; however, the technique is considered difficult, primarily due to the restricted range of needle movement.
Method:
We performed dural threading during transsphenoidal surgery by holding the needle with forceps as a hook and moving the needle in a distal to proximal direction.
Conclusion:
Our dural suturing technique is simple and quick. It can be used not only for dural closure but also for other procedures, such as controlling haemostasis from the intercavernous sinus and dural tenting.
