Bovine pericardium for dural graft: clinical results in 22 patients

Background: Bovine pericardium has widely been used for grafts in cardiac surgery and seems to have suitable properties for use as a dural graft. We report our experience of using locally processed bovine pericardium for dural grafts in 22 patients undergoing cranial operations. Methods: 22 patients...

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Veröffentlicht in:Clinical neurology and neurosurgery 2002-09, Vol.104 (4), p.342-344
Hauptverfasser: Baharuddin, A, Go, B.T, Firdaus, M.N.A.R, Abdullah, J
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container_end_page 344
container_issue 4
container_start_page 342
container_title Clinical neurology and neurosurgery
container_volume 104
creator Baharuddin, A
Go, B.T
Firdaus, M.N.A.R
Abdullah, J
description Background: Bovine pericardium has widely been used for grafts in cardiac surgery and seems to have suitable properties for use as a dural graft. We report our experience of using locally processed bovine pericardium for dural grafts in 22 patients undergoing cranial operations. Methods: 22 patients were analysed prospectively and followed-up for a maximum 3 years. All available records and information regarding the indication for grafting, graft size, complications and outcome were collected and analysed. Results: Indications for grafting included neurosurgical, tumour, congenital and trauma patients. Outcomes were classified as good or excellent in 20 patients, whereas in two patients death was not related to surgical closure but more to malignant intracranial hypertension. In no patient was the dural graft a significant factor in the outcome. Bovine pericardium was found to be easily sutured and watertight using standard 4-0 silk suture. This material is relatively inexpensive compared to other non-synthetic grafts. Conclusion: In this clinical assessment, our bovine pericardium better known as Lyolemb® was found to be an excellent dural graft material for local and eventual international consumption.
doi_str_mv 10.1016/S0303-8467(02)00029-X
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We report our experience of using locally processed bovine pericardium for dural grafts in 22 patients undergoing cranial operations. Methods: 22 patients were analysed prospectively and followed-up for a maximum 3 years. All available records and information regarding the indication for grafting, graft size, complications and outcome were collected and analysed. Results: Indications for grafting included neurosurgical, tumour, congenital and trauma patients. Outcomes were classified as good or excellent in 20 patients, whereas in two patients death was not related to surgical closure but more to malignant intracranial hypertension. In no patient was the dural graft a significant factor in the outcome. Bovine pericardium was found to be easily sutured and watertight using standard 4-0 silk suture. This material is relatively inexpensive compared to other non-synthetic grafts. 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source MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland
subjects Adolescent
Adult
Aged
Animals
Biocompatible Materials
Biological and medical sciences
Bovine pericardium
Cattle
Child
Child, Preschool
Dura Mater - surgery
Dural graft
Female
Humans
Infant
Infant, Newborn
Malaysia
Male
Medical sciences
Middle Aged
Neurosurgery
Neurosurgical Procedures - methods
Pericardium - transplantation
Prospective Studies
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Sutures
Transplantation, Heterologous
Treatment Outcome
Tropical medicine
title Bovine pericardium for dural graft: clinical results in 22 patients
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