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

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...

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Bibliographic Details
Published inNō shinkei geka Vol. 35; no. 2; p. 151
Main Authors Ichinose, Tsutomu, Uda, Takehiro, Kusakabe, Taro, Murata, Keiji, Sakaguchi, Masakazu
Format Journal Article
LanguageJapanese
Published Japan 01.02.2007
Subjects
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
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Summary: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.
ISSN:0301-2603