Preservation and Tissue Handling Technique on Iatrogenic Dural Tear with Herniated Nerve Root at Cauda Equina Level

Figure 2

Tissue handling and preservation technique. (a) Assessment of the herniated nerve root; (b) putting the suture anchor at the edge of the vent; (c) reposing the nerve root at the top of the vent using blunt instrument; (d) gentle traction at the anchor to swallow the herniated nerve root and continuous suture were performed; (e) using the blunt edge of the root dissector to give a gentle push for the remaining herniated nerve root; (f) continuous suture was performed to the cephalad part of the vent; (g) final result shows that all nerves were into dural sac and the tear was recovered.

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