Endoscopic endonasal suturing of dural reconstruction grafts: a novel application of the U-Clip technology : Technical note
Cerebrospinal fluid (CSF) leakage following endoscopic endonasal skull base resection can be a significant problem. A method for securing tissue grafts is needed. In this paper the authors used an endonasal suturing device to secure the graft reconstruction following endonasal tumor resection. The U...
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| Veröffentlicht in: | Journal of neurosurgery 2008-02, Vol.108 (2), p.395-400 |
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| container_title | Journal of neurosurgery |
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| creator | GARDNER, Paul KASSAM, Amin SNYDERMAN, Carl MINTZ, Arlan CARRAU, Ricardo MOOSSY, John J |
| description | Cerebrospinal fluid (CSF) leakage following endoscopic endonasal skull base resection can be a significant problem. A method for securing tissue grafts is needed. In this paper the authors used an endonasal suturing device to secure the graft reconstruction following endonasal tumor resection. The U-Clip anastomotic device (Medtronic), developed for cardiovascular anastomoses, was used to secure the tissue graft to native dura. A specialized needle driver and hemoclip applier were used for the application and deployment of this device. No suture tying was necessary, facilitating its endonasal application. The graft was successfully secured in its desired position to native dura by using the U-Clip anastomotic device. The patient did not suffer a postoperative CSF leak, and postoperative imaging and endoscopy revealed that the graft was in a good position. There was no complication from the use of the device. The U-Clip anastomotic device can be used as a suture device during endonasal surgery. It may prevent tissue graft migration and help prevent CSF leakage. |
| doi_str_mv | 10.3171/JNS/2008/108/2/0395 |
| format | Article |
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A method for securing tissue grafts is needed. In this paper the authors used an endonasal suturing device to secure the graft reconstruction following endonasal tumor resection. The U-Clip anastomotic device (Medtronic), developed for cardiovascular anastomoses, was used to secure the tissue graft to native dura. A specialized needle driver and hemoclip applier were used for the application and deployment of this device. No suture tying was necessary, facilitating its endonasal application. The graft was successfully secured in its desired position to native dura by using the U-Clip anastomotic device. The patient did not suffer a postoperative CSF leak, and postoperative imaging and endoscopy revealed that the graft was in a good position. There was no complication from the use of the device. The U-Clip anastomotic device can be used as a suture device during endonasal surgery. 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A method for securing tissue grafts is needed. In this paper the authors used an endonasal suturing device to secure the graft reconstruction following endonasal tumor resection. The U-Clip anastomotic device (Medtronic), developed for cardiovascular anastomoses, was used to secure the tissue graft to native dura. A specialized needle driver and hemoclip applier were used for the application and deployment of this device. No suture tying was necessary, facilitating its endonasal application. The graft was successfully secured in its desired position to native dura by using the U-Clip anastomotic device. The patient did not suffer a postoperative CSF leak, and postoperative imaging and endoscopy revealed that the graft was in a good position. There was no complication from the use of the device. The U-Clip anastomotic device can be used as a suture device during endonasal surgery. It may prevent tissue graft migration and help prevent CSF leakage.</description><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal Fluid Rhinorrhea - prevention & control</subject><subject>Collagen</subject><subject>Dura Mater - surgery</subject><subject>Endoscopy - methods</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Meningioma - surgery</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Nose</subject><subject>Postoperative Complications - prevention & control</subject><subject>Reconstructive Surgical Procedures - instrumentation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Suture Techniques - instrumentation</topic><topic>Sutures - classification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GARDNER, Paul</creatorcontrib><creatorcontrib>KASSAM, Amin</creatorcontrib><creatorcontrib>SNYDERMAN, Carl</creatorcontrib><creatorcontrib>MINTZ, Arlan</creatorcontrib><creatorcontrib>CARRAU, Ricardo</creatorcontrib><creatorcontrib>MOOSSY, John J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GARDNER, Paul</au><au>KASSAM, Amin</au><au>SNYDERMAN, Carl</au><au>MINTZ, Arlan</au><au>CARRAU, Ricardo</au><au>MOOSSY, John J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic endonasal suturing of dural reconstruction grafts: a novel application of the U-Clip technology : Technical note</atitle><jtitle>Journal of neurosurgery</jtitle><addtitle>J Neurosurg</addtitle><date>2008-02</date><risdate>2008</risdate><volume>108</volume><issue>2</issue><spage>395</spage><epage>400</epage><pages>395-400</pages><issn>0022-3085</issn><eissn>1933-0693</eissn><coden>JONSAC</coden><abstract>Cerebrospinal fluid (CSF) leakage following endoscopic endonasal skull base resection can be a significant problem. A method for securing tissue grafts is needed. In this paper the authors used an endonasal suturing device to secure the graft reconstruction following endonasal tumor resection. The U-Clip anastomotic device (Medtronic), developed for cardiovascular anastomoses, was used to secure the tissue graft to native dura. A specialized needle driver and hemoclip applier were used for the application and deployment of this device. No suture tying was necessary, facilitating its endonasal application. The graft was successfully secured in its desired position to native dura by using the U-Clip anastomotic device. The patient did not suffer a postoperative CSF leak, and postoperative imaging and endoscopy revealed that the graft was in a good position. There was no complication from the use of the device. The U-Clip anastomotic device can be used as a suture device during endonasal surgery. 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| ispartof | Journal of neurosurgery, 2008-02, Vol.108 (2), p.395-400 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Biocompatible Materials Biological and medical sciences Cerebrospinal Fluid Rhinorrhea - prevention & control Collagen Dura Mater - surgery Endoscopy - methods Equipment Design Female Humans Medical sciences Meningioma - surgery Middle Aged Neurosurgery Nose Postoperative Complications - prevention & control Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Suture Techniques - instrumentation Sutures - classification |
| title | Endoscopic endonasal suturing of dural reconstruction grafts: a novel application of the U-Clip technology : Technical note |
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