title: Application of COMPONT Medical Adhesive Glue for Tension-Reduced Duraplasty in Decompressive Craniotomy.
abstract: BACKGROUND The aim of this study was to evaluate the application of medical adhesive glue for tension-reduced duraplasty in decompressive craniotomy. MATERIAL AND METHODS A total of 56 cases were enrolled for this study from Jan 2013 to May 2015. All patients underwent decompressive craniotomy and the dura was repaired in all of them with tension-reduced duraplasty using the COMPONT medical adhesive to glue artificial dura together. The postoperative complications and the healing of dura mater were observed and recorded. RESULTS No wound infection, epidural or subdural hematoma, cerebrospinal fluid leakage, or other complications associated with the procedure occurred, and there were no allergic reactions to the COMPONT medical adhesive glue. The second-phase surgery of cranioplasty was performed at 3 to 6 months after the decompressive craniotomy in 32 out of the 56 cases. During the cranioplasty we observed no adherence of the artificial dura mater patch to the skin flap, no residual COMPONT glue, or hydropic or contracture change of tissue at the surgical sites. Additionally, no defect or weakening of the adherence between the artificial dura mater patch and the self dura matter occurred. CONCLUSIONS COMPONT medical adhesive glue is a safe and reliable tool for tension-reduced duraplasty in decompressive craniotomy.
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Yujia
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Gesheng
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Jialin
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Yong
authors.initials: Y
authors.lastname: Du
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing, China (mainland).
authors.forename: Xiaoyong
authors.initials: X
authors.lastname: Wang
mesh_terms: D000269:Adhesives / Q000627:therapeutic use*; D000328:Adult; D003399:Craniotomy / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods*; D004388:Dura Mater / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods; D012886:Skull / Q000601:surgery; D013524:Surgical Flaps / Q000601:surgery
chemical_list: D000269:Adhesives
keywords: Brain Injuries; Craniotomy; Surgery Department, Hospital