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Titolo:
A NEW TECHNIQUE OF DURAL CLOSURE - EXPERIENCE WITH A VICRYL MESH
Autore:
VERHEGGEN R; SCHULTEBAUMANN WJ; HAHM G; LANG J; FREUDENTHALER S; SCHAAKE T; MARKAKIS E;
Indirizzi:
UNIV GOTTINGEN,CLIN NEUROSURG,ROBERT KOCH STR 40 D-37075 GOTTINGEN GERMANY UNIV HOSP & SCH MED,DEPT NEUROSURG GOTTINGEN GERMANY UNIV HOSP & SCH MED,DEPT NEUROPATHOL GOTTINGEN GERMANY
Titolo Testata:
Acta neurochirurgica
fascicolo: 11, volume: 139, anno: 1997,
pagine: 1074 - 1079
SICI:
0001-6268(1997)139:11<1074:ANTODC>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
CREUTZFELDT-JAKOB-DISEASE; POLYGLACTIN-910 MESH; CADAVERIC DURA; MATER GRAFT; SUBSTITUTE; COMPLICATION;
Keywords:
DURAL SUBSTITUTE; VICRYL (POLYGLACTIN 910); POLY-P-DIOXANONE(PDS); CEREBROSPINAL FLUID (CSF) LEAKS; POSTERIOR FOSSA SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
R. Verheggen et al., "A NEW TECHNIQUE OF DURAL CLOSURE - EXPERIENCE WITH A VICRYL MESH", Acta neurochirurgica, 139(11), 1997, pp. 1074-1079

Abstract

Treatment of postoperative dural CSF leaks following posterior fossa surgery remains a difficult and often perplexing problem. Their management includes either non-operative management or surgical re-exploration. In order to avoid CSF leaks we developed a simple but effective method using a well-cut sheet of a vicryl poly-p-dioxanone mesh (Ethisorb(R)) covering the whole defect of the craniectomy. This paper presents our technique of dural closure, experiences with and advantages of the vicryl mesh in comparison with conventional procedures using musclepatches in combination with fibrin sealant or fibrin glue alone. Attention is focused upon the frequency of postoperative complications, inparticular infection rare and CSF leaks. Furthermore, histomorphological observations after implantation of a vicryl mesh are demonstrated. In conclusion, due to its specific qualities we consider the vicryl mesh as a suitable dural substitute with potential advantages over currently used material.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/01/20 alle ore 14:47:51