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  • Title: How I do it: shoelace watertight dural closure in extended transsphenoidal surgery.
    Author: Takeuchi K, Nagatani T, Wakabayashi T.
    Journal: Acta Neurochir (Wien); 2015 Dec; 157(12):2089-92. PubMed ID: 26477503.
    Abstract:
    BACKGROUND: Skull base reconstruction after extended transsphenoidal surgery is essential to prevent postoperative cerebrospinal fluid leakage. METHODS: A novel and simple technique for skull base reconstruction termed "shoelace dural closure" was devised. The dura mater was closed with a fat graft using a continuous running suture with both ends of a double-armed suture. CONCLUSIONS: The shoelace dural closure is an effective method for achieving watertight closure of the anterior skull base without the use of lumbar drains, fascia lata grafts, or nasoseptal flaps.
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