[Effectiveness of antiadhesion barriers in preventing adhesion for external decompression and subsequent cranioplasty].
Cranioplasty performed after external decompression for brain swelling due to cerebral infarction, injury and hemorrhage may be difficult because of the development of adhesions between the dura and the temporal muscle, subcutaneous layer. Preventing such adhesions, we have used Seprafilm instead of Gore-Tex membranes which had been used in neurosurgery. Seprafilm were placed between the temporal muscle and the dura with dural plasty using periostium or temporal fascia. Insertion of Seprafilm makes it easy for subsequent cranioplasty, to decrease operating time and blood loss, and avoids injury to the temporal muscle and dura. In addition, the price of Seprafilm is lower than Gore-Tex. Seprafilm is a safe and inexpensive material for preventing the adhesions after external decompression.
Ichinose
Tsutomu
T
Department of Neurosurgery, Shimada Municipal Hospital.
Uda
Takehiro
T
Kusakabe
Taro
T
Murata
Keiji
K
Sakaguchi
Masakazu
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D003399:Craniotomy / Q000379:methods; D003664:Decompression; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D012886:Skull / Q000601:surgery*; D000267:Tissue Adhesions / Q000517:prevention & control
D001672:Biocompatible Materials; C118198:Seprafilm; D006820:Hyaluronic Acid