Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

The patient was operated 03-October-2005 for tethered cord , after what the 5th postoperative day progressed CSF leak from the wound. Several conservative measures failed to stop the leak. Considering that, he is living in another country, it was decided to explore the wound and after the inspection, it became evident that the leak was coming not from the dural opening, where stitching was performed, but from the upper most left point, where stay-stitch was applied during the first operation. This point was stitched and another 2 suspected points also stitched and the area was covered by muscle and sealed with glue. Water-tight closure of all layers.