title: Suturing-Free Artificial Dura with Dacron Heart Patch in Decompressive Craniectomy and Cranioplasty.
abstract: Dacron heart patch has been used in decompressive craniectomy, performing the function of septa, mainly to prevent extra adhesion of temporal muscle and decompressive meningeal adhesion in the second-stage cranioplasty, so as to make the operation easier. Then, we made the following modification technology: (1) We used artificial suturing-free dura participate directly in the duraplasty. (2) Dacron patch is not in need of trimming the side holes and can directly cover the decompression window. From March 2012 to October 2013, we applied the technology of artificial dura with Dacron heart patch in 23 patients; after operation, we found that the initial depressive craniectomy cost less time, due to the tension-reduced suture which was not needed, and in the second-stage cranioplasty, the temporal was easy to remove and had no adhesion with the Dacron patch, so as to reach temporal muscle anatomy preservation, and with no obvious postoperative complication.
authors.affiliation: Department of Neurosurgery, The Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031 China.
authors.forename: Fei
authors.initials: F
authors.lastname: Wang
authors.affiliation: Department of Neurology, Hospital of Weifang Municipal Authorities, Weifang, Shandong 261031 China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Xue
authors.affiliation: Department of Spinal Surgery, Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031 China.
authors.forename: Si-Shun
authors.initials: SS
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, The Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031 China.
authors.forename: Ting-Jian
authors.initials: TJ
authors.lastname: Yang
authors.affiliation: Department of Neurosurgery, The Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031 China.
authors.forename: Hao-Qing
authors.initials: HQ
authors.lastname: Song
authors.affiliation: Department of Neurosurgery, The Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031 China ; Department of Nursing, The Affliated Hospital of Weifang Medical University, No. 2428 Yuhe Road Kuiwen District, Weifang, Shandong 261031 China.
authors.forename: Hong
authors.initials: H
authors.lastname: Liu
keywords: Cranioplasty; Dacron heart patch; Decompressive craniectomy operation; Manual suturing-free dura; Temporal muscle anatomy preservation