title: Dural bridge sutures to prevent sinking of dural substitutes: technical note.
abstract: BACKGROUND
  Following Simpson Grade 1 excision of large convexity meningioma there is often a need for synthetic dural substitutes.
  
  
  CONCLUSIONS
  One problem with some of these grafts is that they lack tensile strength when wet and therefore sink into the cavity left following removal of the meningioma.
  
  
  CONCLUSIONS
  A simple method to prevent 'sinking' or sagging of such synthetic dural grafts is described and illustrated.
authors.affiliation: Department of Clinical Neurosciences, Western General Hospital, Edinburgh, Scotland, UK.
authors.forename: Chandramouli
authors.initials: C
authors.lastname: Balasubramanian
authors.forename: Emma
authors.initials: E
authors.lastname: Coley
authors.forename: Ian Roger
authors.initials: IR
authors.lastname: Whittle
mesh_terms: D000368:Aged; D001921:Brain / Q000473:pathology / Q000601:surgery; D004388:Dura Mater / Q000033:anatomy & histology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000473:pathology / Q000601:surgery*; D008579:Meningioma / Q000473:pathology / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D013537:Sutures / Q000592:standards; D016896:Treatment Outcome