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Background <p>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.</p> Method <p>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.</p> Conclusion <p>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.</p>

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Full-endoscopic dural repair using drain catheter: technical note

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月14日

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  • Peter Van Daele,
  • Piya Chavalparit,
  • Borriwat Santipas,
  • Jin-Sung Kim

摘要

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.