 After removing all visible tumor grossly, we then irrigated this cavity multiple times and obtained meticulous hemostasis and then closed the dura primarily with 4-0 Nurolon sutures with the piece of DuraGen placed over this in order to increase our chances for a good watertight seal. 
After removing all visible tumor grossly , we then irrigated this cavity multiple times and obtained meticulous hemostasis and then closed the dura primarily with 4 - 0 Nurolon sutures with the piece of DuraGen placed over this in order to increase our chances for a good watertight seal .