Tamura, Ryota and Kuranari, Yuki and Mishima, Maki and Katayama, Makoto (2021) A Multilayered Dural Repair Technique Using Duragen for Early Cranioplasty Following Decompressive Craniotomy. Surgeries, 2 (4). pp. 371-377. ISSN 2673-4095
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Abstract
Decompressive craniotomy is a neurosurgical emergency procedure in which a large skull bone is removed and the dura matter is extensively opened. Duraplasty is required to avoid cerebrospinal fluid (CSF) leakage during the decompressive craniotomy. DuraGen® is a safe and effective type I collagen matrix graft, which is frequently used in decompressive craniotomy procedures. Since DuraGen® does not require labor-intensive suturing, the operative time is shortened by DuraGen® closure with sufficient tightness preventing CSF leakage. Recently, early cranioplasty is preferred to achieve efficient rehabilitation after decompressive craniotomy. Although evidence of efficacy and safety of DuraGen® has been increasing in the management of duraplasty, no reports have previously discussed the condition of DuraGen® during the second surgery (cranioplasty) at this early timing. DuraGen®-derived neodura develops a mature dura 1 year post its placement, and the neodura remain fragile at this early time point. A deconstructed fragile neodura may result in postoperative CSF leakage. Here, we illustrated a multilayered dural repair technique with DuraGen® to avoid disruption of the fragile neodura during early cranioplasty.
Item Type: | Article |
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Subjects: | ArticleGate > Medical Science |
Depositing User: | APLOS Lib |
Date Deposited: | 04 Jul 2022 10:03 |
Last Modified: | 04 Jul 2022 10:03 |
URI: | http://ebooks.pubstmlibrary.com/id/eprint/167 |