The use of Gore-Tex membrane for adhesion prevention in tethered spinal cord surgery: technical case reports.
| Autor: | Aliredjo RP; Department of Neurosurgery, University Hospital of Nijmegen St. Radboud, The Netherlands., de Vries J, Menovsky T, Grotenhuis JA, Merx J |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgery [Neurosurgery] 1999 Mar; Vol. 44 (3), pp. 674-7; discussion 677-8. |
| DOI: | 10.1097/00006123-199903000-00139 |
| Abstrakt: | Objective: The incidence of retethering caused by postoperative adhesions at the repair site after initial tethered spinal cord surgery is not uncommon. To assess the effectiveness of a Gore-Tex membrane in preventing these adhesions, only clinical radiological and experimental animal evaluation has been reported. In this report, we describe two cases in which Gore-Tex membrane was implanted at the initial untethering surgery and in which we were able to confirm the real effectiveness of the Gore-Tex membrane during a second operation. Methods: In the first patient, Gore-Tex membrane was used for dural repair in the untethering surgery of the split spinal cord malformation. Because of the suspicion of a thickened filum terminale, repeated surgery was indicated 10 months after the initial procedure. In the second patient, Gore-Tex membrane was implanted during the initial untethering surgery for a lipomyeloschisis and a dermal sinus. Because of a persistent fistula of the dermal sinus, a second operation was necessary 1 year after the first operation. Results: During the repeated surgery, a thorough inspection of the implanted Gore-Tex membrane revealed no adhesions between the Gore-Tex membrane and the intradural content in both cases. Conclusion: We support the use of Gore-Tex membrane in the prevention of postoperative dural adhesions in the repair of spinal dysraphism. |
| Databáze: | MEDLINE |
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