title: [Effectiveness of antiadhesion barriers in preventing adhesion for external decompression and subsequent cranioplasty].
abstract: 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.
authors.affiliation: Department of Neurosurgery, Shimada Municipal Hospital.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Ichinose
authors.forename: Takehiro
authors.initials: T
authors.lastname: Uda
authors.forename: Taro
authors.initials: T
authors.lastname: Kusakabe
authors.forename: Keiji
authors.initials: K
authors.lastname: Murata
authors.forename: Masakazu
authors.initials: M
authors.lastname: Sakaguchi
mesh_terms: 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
chemical_list: D001672:Biocompatible Materials; C118198:Seprafilm; D006820:Hyaluronic Acid