期刊
FRONTIERS IN SURGERY
卷 8, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2021.642972
关键词
incidental durotomy; dural tear; lumbar spine; surgical education; spine simulation
类别
A novel dural repair device was compared to traditional tools in a clinical simulation model, showing better performance in repair time, CSF leak pressure, and nerve root avoidance. While the results were generally replicable in clinical settings, the simulation model had limitations in capturing all clinical scenarios.
Incidental durotomies, or dural tears, can be very difficult and time consuming to repair properly when they are encountered in confined spaces. A novel dural repair device was developed to address these situations. In this paper, the novel device was assessed against the use of traditional tools and techniques for dural repairs in two independent studies using an intricate clinical simulation model. The aim was to examine the results of the two assessments and link the outcomes to the clinical use of the novel device in the operating room. The novel device outperformed conventional techniques as measured by dural repair time, CSF leak pressure and nerve root avoidance in the simulation. The results were generally replicable clinically, however, numerous additional clinical scenarios were also encountered that the simulation model was unable to capture due to various inherent limitations. The simulation model design, potential contributors to watertightness, clinical experiences, and limitation are discussed.
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