A technique of TachoComb application in dura mater reconstruction in surgery for posterior cranial fossa tumors

Shimanskiy, V. N.; Poshataev, V. K.; Shevchenko, K. V.; Шевченко, К. В.

doi:10.17116/neiro201680585-89

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…Synthetic materials were absorbable dural substitutes composed of collagen of equine origin (e.g. Tachosil 34 , Tachocomb 44 ), collagen of bovine origin (e.g. Duragen 25,27 /Durepair 27 ), oxidized cellulose (e.g.…”

Section: Duramentioning

confidence: 99%

“…5 Non-sutured subdural grafts (inlays) were described in four studies and consisted of both autologous and synthetic materials. 14,20,25,44 Autologous grafts (fascia lata) were used in one study by Mostafa et al, with no further augmentation techniques specified. 14 Synthetic materials included collagen matrix (e.g.…”

Section: Duramentioning

confidence: 99%

“…Accepted Manuscript (e.g. Tachocomb 44 ). Three authors combined single or bi-layered inlays (composed of Tissuefleece 20 , Spongostan 20 , Gelfoam 25 or Tachocomb 44 ) with haemostatic onlays (Tachocomb 44 or Tachosil 20 ) or a collagen matrix graft (Duragen 25 ) with an intermediate primary dural repair, termed the 'sandwich technique'.…”

Section: Duramentioning

confidence: 99%

“…Tachocomb 44 ). Three authors combined single or bi-layered inlays (composed of Tissuefleece 20 , Spongostan 20 , Gelfoam 25 or Tachocomb 44 ) with haemostatic onlays (Tachocomb 44 or Tachosil 20 ) or a collagen matrix graft (Duragen 25 ) with an intermediate primary dural repair, termed the 'sandwich technique'. Arlt et al 20 compared the sandwich technique to a primary repair with a Tachosil onlay yet did not find statistically significant differences in leak rates.…”

Section: Duramentioning

confidence: 99%

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Skull Base Repair following Resection of Vestibular Schwannoma: A Systematic Review (Part 1: The Retrosigmoid Approach)

Starup-Hansen,

Williams,

Valetopoulou

et al. 2023

J Neurol Surg B Skull Base

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Objective: Despite advances in skull-base reconstruction techniques, CSF leaks remain a common complication following retrosigmoid (RS) vestibular schwannoma (VS) surgery. We aimed to review and classify the available strategies used to prevent CSF leaks following RS VS surgery. Methods: A systematic review, including studies of adults undergoing RS VS surgery since 2000, was conducted. Repair protocols were synthesised into a narrative summary, and a taxonomic classification of techniques and materials was produced. Additionally, the advantages, disadvantages, and associated CSF leak rates of different repair protocols were described. Results: All 42 studies were case series, of which 34 were retrospective, and eight were prospective. Repair strategies included heterogeneous combinations of autografts, xenografts, and synthetic materials. A repair taxonomy was produced considering seven distinct stages to CSF leak prevention, including intraoperative approaches to the dura, internal auditory canal (IAC), air cells, RS bony defect, extra-cranial soft tissue, post-operative dressings, and CSF diversion. Notably, there was significant heterogeneity among institutions, particularly in the dural and IAC stages. The median postoperative incidence of CSF leaks was 6.3% (IQR 1.3%-8.44%). Conclusions: The intra-operative strategies used to prevent CSF leaks during RS VS surgery vary significantly between and within institutions. As a result of this heterogeneity and inconsistent reporting of CSF leak predictive factors, a meaningful comparative analysis of repair protocols was not feasible. Instead, we propose the development of a prospective multi-centre service evaluation designed to accurately capture a comprehensive dataset of potential CSF risk factors, including all stages of the operative repair protocol.

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Section: Duramentioning

confidence: 99%

Section: Duramentioning

confidence: 99%

Section: Duramentioning

confidence: 99%

Section: Duramentioning

confidence: 99%

See 2 more Smart Citations

Skull Base Repair following Resection of Vestibular Schwannoma: A Systematic Review (Part 1: The Retrosigmoid Approach)

Starup-Hansen,

Williams,

Valetopoulou

et al. 2023

J Neurol Surg B Skull Base

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“…There is a wide variety of methods for placing the grafts on DM defects: regular and seamless suturing, using gels and sealants etc. [52][53][54][55][56][57].…”

mentioning

confidence: 99%

Materials for Plastic Surgery of the Dura Mater: History and Current State of the Problem (Review)

Danilova¹,

Gorbunova²,

Tsybusov³

et al. 2018

Sovrem Tehnol Med

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The review addresses one of the important aspects of modern neurosurgery: the repair of various dura mater defects. The optimal material for plastic surgery of the dura mater should meet certain biological, physical and chemical requirements, should not cause serious complications such as liquorrhea, inflammation or brain's lining scars, it should be simple and convenient in use, as well as cost-effective. The present report reviews the concepts and techniques developed in the XIX-XX centuries and also describes the materials used at the present time such as autografts (from patient's own tissues), collagen, and synthetic materials both absorbable and non-absorbable. We analyze a number of domestic and internationally-known implants used in the dura mater plastic repair. The prospects of the new synthetic Russia-made material Reperen for the dura mater plastic surgery are discussed.

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The adhesive properties of the “Tachocomb” hemostatic plate with prostheses of the brain dura mater

Vinogradov

Alekseev

Свистов

2021

Bulletin of the Russian Military Medical Academy

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The adhesion of the Tahokomb hemostatic plate of Takeda (Japan) to the solid cerebral membrane prostheses from materials of various origins was experimentally investigated to determine which of them the implants under study best provide tachocomb fixation and contribute to the prevention of postoperative liquorrhea and infectious complications resulting from leaks in the subdural space. It was found that the greatest adhesion of tachocomb was revealed to xenogenic prostheses having collagen in their composition, which characterizes them as optimal prostheses for plasticizing defects of the solid cerebral membrane from the point of view of sealing the subdural space. Intermediate values were observed in the study of prostheses of combined origin, and the lowest adhesion of tachocomb was observed with respect to synthetic prostheses. Of some interest are new composite substitutes for the hard brain (NeoDura, Medprin), created as a mix of synthetic and organic materials. The surface texture of these solid cerebral membrane analogues approaches collagen implants in characteristics, and is similar to the structure of the native solid cerebral membrane. Based on the data obtained, we can talk about the priority use of solid braincase prostheses based on animal collagen - not only due to the high adhesion parameters of tachocomb to them, but also due to other qualities: resorbability, facilitating the deposition of recipient fibroblast materials on the surface.

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A technique of TachoComb application in dura mater reconstruction in surgery for posterior cranial fossa tumors

Abstract: Using the TachoComb® sponge for DM reconstruction in PCF surgery is an effective way to prevent postoperative CSF leakage, provided that the algorithm of manipulations described in the article is followed.

Cited by 4 publications

References 6 publications

Skull Base Repair following Resection of Vestibular Schwannoma: A Systematic Review (Part 1: The Retrosigmoid Approach)

Skull Base Repair following Resection of Vestibular Schwannoma: A Systematic Review (Part 1: The Retrosigmoid Approach)

Materials for Plastic Surgery of the Dura Mater: History and Current State of the Problem (Review)

The adhesive properties of the “Tachocomb” hemostatic plate with prostheses of the brain dura mater

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