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  • Title: Use of self-closing U-clips for dural repair in mini-invasive surgery for herniated disc.
    Author: Ferroli P, Franzini A, Messina G, Tringali G, Broggi G.
    Journal: Acta Neurochir (Wien); 2008 Oct; 150(10):1103-5. PubMed ID: 18806922.
    Abstract:
    OBJECT: The feasibility of a new technique of dural repair (self-closing U-clips) in mini-invasive surgery for herniated disk is demonstrated in this case report. MATERIALS AND METHODS: A 44-year-old male patient underwent lumbar microdiscectomy at out Institute, with subsequent dural leak as surgical complication; the dural leak re-appeared even after a second intervention in which we used muscle and dural graft and fibrin glue to repair the leak. We then decided to employ self-closing nitinol- U-clip to achieve primary dural closure. RESULTS: After the intervention the patient no more presented signs or symptoms due to the unintended durotomy, and the postoperative course was uneventful. CONCLUSION: Self-closing nitinol U-clips (Medtronic, Inc., Minneapolis) can be used for closing a dural tear through a mini-invasive approach that could make a conventional microsuturing technique very difficult.
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