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Dural defect repair with fascia by a CO2 laser system in a porcine model.

机译:在猪模型中使用CO2激光系统通过筋膜修复硬脑膜缺损。

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摘要

HYPOTHESIS/OBJECTIVES: We tested the effectiveness of a temperature-controlled CO2 laser soldering system on a porcine model for dural defect reconstruction using a fascial patch. METHODS: A dural patch was excised and then reconstructed with fascia by a CO2 laser system in vitro in 27 animals and in vivo in five animals. RESULTS: After dural reconstruction, the average burst pressure of the soldered patch in vitro, as measured by a custom-made pressure detector, was 258.5 cm H2O. All five pigs in the in vivo group showed no neurological complications or cerebrospinal fluid leak, and the underlying brain tissue showed no thermal injury. CONCLUSION: The CO2 laser system created a watertight bond and did not cause thermal injury to the brain. The procedure is potentially faster than conventional repair, and wound healing may also be more rapid.
机译:假设/目标:我们在猪模型上使用筋膜贴片修复硬脑膜缺损,测试了温度控制的CO2激光焊接系统的有效性。方法:切除硬脑膜斑块,然后通过CO 2激光系统用筋膜板在体外对27只动物进行体内重建,并在体内对5只动物进行体内重建。结果:硬脑膜重建后,通过定制的压力检测器测得的体外焊接贴片的平均破裂压力为258.5 cm H2O。体内组中的所有五只猪均未显示出神经系统并发症或脑脊液漏出,并且下方的脑组织未显示出热损伤。结论:CO2激光系统产生了水密键,并且不会对大脑造成热损伤。该过程可能比常规修复更快,并且伤口愈合也可能更快。

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