Endoscopic double line suture repair technique for repairing Iatrogenic dural tear: a technical case report
Runhan Zhao1,2, Ningdao Li1,2, Jun Zhang1,2
1Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Yuzhong, Chongqing, 400016, P.R. China.
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.
