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Dural repair after extensive tumour surgery

Dural repair after extensive tumour surgery Surgery for spine tumours can be challenging, and due to the increased complexity of surgery, the dura may be transgressed either for purposeful resection of tumour margins or by inadvertent breach whilst removing extradural tumour. If leakage of CSF occurs, this may affect the patient’s quality of life, at a time when maintaining function and good outcome is paramount. Surgical planning should aim to minimise the risk of CSF leakage, but if dural breach does occur, the defect should be repaired by using sutures, dural patch techniques and application of tissue adhesives. We outline and illustrate the methods of dural closure that can be used to prevent leakage of CSF during surgery for spine tumours. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ArgoSpine News & Journal Springer Journals

Dural repair after extensive tumour surgery

ArgoSpine News & Journal , Volume 24 (4) – Mar 28, 2013

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Publisher
Springer Journals
Copyright
Copyright © 2012 by ARGOS and Springer-Verlag France
Subject
Medicine & Public Health; Orthopedics; Surgical Orthopedics; Diagnostic Radiology
ISSN
1957-7729
eISSN
1957-7737
DOI
10.1007/s12240-012-0060-z
Publisher site
See Article on Publisher Site

Abstract

Surgery for spine tumours can be challenging, and due to the increased complexity of surgery, the dura may be transgressed either for purposeful resection of tumour margins or by inadvertent breach whilst removing extradural tumour. If leakage of CSF occurs, this may affect the patient’s quality of life, at a time when maintaining function and good outcome is paramount. Surgical planning should aim to minimise the risk of CSF leakage, but if dural breach does occur, the defect should be repaired by using sutures, dural patch techniques and application of tissue adhesives. We outline and illustrate the methods of dural closure that can be used to prevent leakage of CSF during surgery for spine tumours.

Journal

ArgoSpine News & JournalSpringer Journals

Published: Mar 28, 2013

References