Dural Injury Treatment with a Full-Endoscopic Transforaminal Approach: A Case Report and Description of Surgical Technique

Bergamaschi, João Paulo Machado; Araújo, Fernando Flores de; Soares, Thiago Queiroz; Teixeira, Kelsen de Oliveira; Sandon, Luiz Henrique; Graciano, Ricardo Squiapati; Depieri, Gustavo Vitelli; Lugão, Ariel Falbel; Assis, Rangel Roberto de; Bergamaschi, Esthael Cristina Querido Avelar

doi:10.1155/2022/6570589

Cited by 4 publications

(2 citation statements)

References 27 publications

(45 reference statements)

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“…Therefore, several endoscopic repair methods have been reported. 8,9 Shin et al 8 reported a method of performing a primary suture repair during endoscopic lumbar spinal surgery. A double-arm needle was used to thread through the dura.…”

Section: Dural Tearmentioning

confidence: 99%

Perioperative Management for Full-Endoscopic Lumbar Discectomy: Consideration From the Perspective of Preventing Complication

Hara

Ohara

2023

Neurospine

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In recent years, full-endoscopic discectomy (FED) has expanded its range of indications with the development of devices and various techniques. The advantage of FED over conventional surgery is that it is a minimally invasive procedure. However, intraoperative and postoperative precautions must be taken to prevent complications. It is necessary to avoid complications that could compromise the outcome of the procedure. Effective perioperative management is necessary to avoid complications; however, there is no set view for perioperative management in FED. In this study, we perform a literature review to examine the effectiveness of perioperative management methods for FED. The key to ensuring the efficacy and minimal invasiveness of FED is prevention of complications. Based on the result and literature review, we believe that the most manageable postoperative management after FED is prevention of recurrent disc herniation and hematoma formation. A drain should be placed to prevent postoperative hematoma formation. It is advisable to evaluate the patient’s symptoms and monitor C-reactive protein and erythrocyte sedimentation rate levels during the first week after surgery. Postoperative antibiotics were administered for 1 day.

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Section: Dural Tearmentioning

confidence: 99%

Perioperative Management for Full-Endoscopic Lumbar Discectomy: Consideration From the Perspective of Preventing Complication

Hara

Ohara

2023

Neurospine

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“…The main differences lie in the fact that Bergamaschi et al . proposed a novel knot-tying technique 7 , 8 , 9 .…”

mentioning

confidence: 99%

A commentary on ‘Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation’

Zhao,

Li,

Luo

2024

International Journal of Surgery

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Overview and Prevention of Complications During Biportal Endoscopic Cervical Spine Surgery

Park

Lee

Chough

2023

J Minim Invasive Spine Surg Tech

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Purpose: Biportal endoscopic spine surgery is becoming popular for various spinal pathologies, including cervical and thoracic spine diseases. However, the safety of biportal endoscopic cervical spine surgery (BECSS) has not been fully investigated, and inexperienced surgeons can cause serious complications. The study aimed to evaluate the complications of BECSS and identify tips for preventing them through a literature review and retrospective analysis of case series. Methods: Articles on BECSS were electronically retrieved from multiple databases, with inclusion criteria including controlled and case series designs, detailed reporting of complications and/or reoperations, and the use of BECSS. The study excluded simple review articles and case reports. The clinical data of 45 patients who underwent BECSS at our institution were collected, and information was extracted on demographic features, surgery type, surgical level, surgery-related complications, and reoperations and their reasons.Results: The study retrieved a total of 67 studies from 5 databases, of which 6 were included after screening. In total, 227 cases of BECSS were identified, and the overall complication rate was 0%–14.3%. Complications included dura tearing, symptom recurrence, incomplete decompression, postoperative epidural hematoma, and transient paralysis. Reoperation was performed in 3 cases.Conclusion: BECSS has similar complication rates to those of other surgical techniques. It is important to provide extensive education, share knowledge and experience, and conduct further research to minimize complications and improve outcomes for patients, as is the case with other spinal surgical procedures.

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Dural Injury Treatment with a Full-Endoscopic Transforaminal Approach: A Case Report and Description of Surgical Technique

Cited by 4 publications

References 27 publications

Perioperative Management for Full-Endoscopic Lumbar Discectomy: Consideration From the Perspective of Preventing Complication

Perioperative Management for Full-Endoscopic Lumbar Discectomy: Consideration From the Perspective of Preventing Complication

A commentary on ‘Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation’

Overview and Prevention of Complications During Biportal Endoscopic Cervical Spine Surgery

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