Van Daele P.Chavalparit P.Santipas B.Kim J.S.Mahidol University2025-07-282025-07-282025-12-01Acta Neurochirurgica Vol.167 No.1 (2025)00016268https://repository.li.mahidol.ac.th/handle/20.500.14594/111416Background: Repairing dural tears through a uniportal endoscopic approach presents significant technical challenges. This technical note describes a novel endoscopic suturing technique using standard instruments commonly available in most operating rooms. Method: We describe the instrument preparation, operative steps, and a case illustration. The dural suturing technique is performed using standard endoscopic instruments with a custom-made knot pusher adapted from a No. 8 surgical drain catheter. Conclusion: Our proposed surgical workflow and suturing technique enable effective endoscopic dural repair without the need for specialized equipment. It offers a practical solution that may reduce the need for conversion to open surgery.MedicineArticleSCOPUS10.1007/s00701-025-06613-52-s2.0-10501070104409420940