使用引流导管的全内镜硬脑膜修复术：技术说明
Full-endoscopic dural repair using drain catheter: technical note.
作者信息
Van Daele Peter, Chavalparit Piya, Santipas Borriwat, Kim Jin-Sung
机构信息
O.L.V. Van Lourdes Ziekenhuis Waregem, Waregem, Belgium.
Orthopedic Department, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
出版信息
Acta Neurochir (Wien). 2025 Jul 14;167(1):190. doi: 10.1007/s00701-025-06613-5.
BACKGROUND
Repairing dural tears through a uniportal endoscopic approach presents significant technical challenges. This technical note describes a novel endoscopic suturing technique using standard instruments commonly available in most operating rooms.
METHOD
We describe the instrument preparation, operative steps, and a case illustration. The dural suturing technique is performed using standard endoscopic instruments with a custom-made knot pusher adapted from a No. 8 surgical drain catheter.
CONCLUSION
Our proposed surgical workflow and suturing technique enable effective endoscopic dural repair without the need for specialized equipment. It offers a practical solution that may reduce the need for conversion to open surgery.
背景
通过单孔内镜入路修复硬脑膜撕裂存在重大技术挑战。本技术说明介绍了一种使用大多数手术室常见的标准器械的新型内镜缝合技术。
方法
我们描述了器械准备、手术步骤及一个病例说明。硬脑膜缝合技术使用标准内镜器械及一个由8号手术引流导管改制的定制打结器进行。
结论
我们提出的手术流程和缝合技术能够在无需专门设备的情况下有效地进行内镜下硬脑膜修复。它提供了一种切实可行的解决方案，可能会减少转为开放手术的必要性。
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