[Effectiveness of antiadhesion barriers in preventing adhesion for external decompression and subsequent cranioplasty]

No Shinkei Geka. 2007 Feb;35(2):151-4.
[Article in Japanese]

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.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biocompatible Materials*
  • Craniotomy / methods
  • Decompression*
  • Female
  • Humans
  • Hyaluronic Acid / therapeutic use*
  • Male
  • Middle Aged
  • Neurosurgical Procedures / methods
  • Skull / surgery*
  • Tissue Adhesions / prevention & control

Substances

  • Biocompatible Materials
  • Seprafilm
  • Hyaluronic Acid