Give an Inch and Get a Mile - Simple Modification in the Pial Stay Suture Technique for Intramedullary Spinal Tumors

Most of the IMTs are benign and encapsulated, usually affecting young adult individuals. [...]a complete safe excision with good functional outcome promises a lot to the patient, hence to the society at large. [6],[7]{Table 1}{Table 2}{Table 3} This simple modification in the suture technique buttre...

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Published in:Neurology India 2019-07, Vol.67 (4), p.1082-1085
Main Authors: Srivastava, Arun, Khatri, Deepak, Bhaisora, Kamlesh, Das, Kuntal, Maurya, Ved, Behari, Sanjay
Format: Article
Language:English
Subjects:
Bone cancer
Care and treatment
Machine tool industry
Medical research
Morbidity
Neurosurgery
Spinal cancer
Surgery
Surgical outcomes
Surgical techniques
Tumors
Ultrasound
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Summary:Most of the IMTs are benign and encapsulated, usually affecting young adult individuals. [...]a complete safe excision with good functional outcome promises a lot to the patient, hence to the society at large. [6],[7]{Table 1}{Table 2}{Table 3} This simple modification in the suture technique buttresses the delicate pia and myelotomy edges against the firm duramater thereby providing a more uniform distribution of the traction among the meningeal layers. [...]the vector of traction force in our technique routes through the duramater which quite easily bears the majority of traction loads unlike the conventional technique where such traction load is borne by the pia/epipial layers solely. [...]only 1 out of our 23 patients developed a pseudomeningocele which led us believe that such prick points with a 5-0 suture needle remain innocuous at large and generally get included in the dural closing sutures.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.266240