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Fig. 3 | Egyptian Journal of Neurosurgery

Fig. 3

From: Post-operative cerebrospinal fluid leak: single-continuous versus double-breasted dural repair of myelomeningocele

Fig. 3

Intraoperative pictures above showing a typical myelomeningocoele (A), circumferentially dissected dura and neural tissue indicated by white and blue arrows respectively (B), the tip of inner dural leaflet (blue arrow) being sewn to the lower most inner surface (yellow arrow) of the outer dural leaflet (C), the first/inner breasting completed as shown in blue arrows and free edge of the outer dural leaflet held up as indicated by white arrows (D), the free edge of the outer dural leaflet sutured to the outer surface of the inner dural leaflet to complete the double breasting as shown by yellow arrows (E), wound closed in layers (F)

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