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首页> 外文期刊>British journal of neurosurgery >Epidural multi-slitted microporous non-absorbable patch in decompressive craniectomy to facilitate cranioplasty: a preliminary study
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Epidural multi-slitted microporous non-absorbable patch in decompressive craniectomy to facilitate cranioplasty: a preliminary study

机译：软件多裂微孔不可吸收贴剂，用于减压颅骨切除术，促进颅骨成形术：初步研究

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摘要

Developing a surgical plane between the temporalis muscle and the dura is the most technically challenging step when performing cranioplasty for post-decompressive craniectomy defects. The authors report a simple technique to demarcate this surgical plane by laying a multi-slitted, microporous polyesterurethane (MPU) patch during decompressive craniectomy. Specifically, they tried to avoid creating potential spaces around the patch, which is the inherent drawback of published anti-adhesive techniques. In 21 patients undergoing decompressive craniectomy, and in 11 of them subsequently undergoing cranioplasty, there was no wound related complications. During cranioplasty, no epidural fluid collection was found; the patch could be separated from the temporalis muscle and the dura with blunt dissection leaving the muscle intact. They conclude that their epidural MPU patch technique is a safe technique, and appears useful to facilitate cranioplasty by helping the surgeon in developing the surgical plane between the temporalis muscle and the dura during cranioplasty.
机译：在颞型肌肉和硬脑膜之间开发手术平面是在进行解压缩颅骨切除术缺陷的颅骨成形术时最具技术上挑战的步骤。作者报告了一种简单的技术，通过在解压缩颅骨切除术期间铺设多缝，微孔聚酯氨基烷（MPU）贴片来划分这种手术平面。具体而言，他们试图避免在贴片周围产生潜在的空间，这是公布的防粘连技术的固有缺点。在21例患者接受减压的颅骨切除术中，在其中11例随后接受了颅骨成形术，没有伤口相关的并发症。在颅骨成形术期间，没有发现硬膜外流体收集;贴片可以与颞型肌肉和硬脑膜分开，并且钝性解剖留下肌肉完好无损。他们得出结论，他们的硬膜外斑块贴剂技术是一种安全技术，并且通过帮助外科医生在颅骨成形术期间通过帮助外科医生促进外科医生来促进颅骨成形术。

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