TY  - JOUR
A1  - Vasilikos, Ioannis
A1  - Beck, Jürgen
A1  - Ghanaati, Shahram Michael
A1  - Grauvogel, Jürgen
A1  - Nisyrios, Themistoklis
A1  - Grapatsas, Konstantinos
A1  - Hubbe, Ulrich
T1  - Integrity of dural closure after autologous platelet rich fibrin augmentation: an in vitro study
T2  - Acta neurochirurgica
N2  - Background: Watertight closure of the dura mater is fundamental in neurosurgery. Besides the classical suturing techniques, a variety of biomaterials have been proposed as sealants. Platelet rich fibrin (PRF) is an autologous biomaterial which can readily be obtained through low-speed centrifugation of patient’s own blood. It is rich in fibrin, growth factors, leucocytes and cytokines and has shown adhesive properties while promoting the physiological wound healing process. In this study, we investigated the effect of applying PRF in reinforcing the watertight dura mater closure. Methods: We created an in vitro testing device, where the watertight dura mater closure could be hydrostatically assessed. On 26 fresh harvested bovine dura maters, a standardised 20-mm incision was closed with a running suture, and the leak pressure was measured first without (primary leak pressure) and then with PRF augmentation (secondary leak pressure). The two groups of measurements have been statistically analysed with the Student’s paired t test. Results: The “running suture only group” had a leak pressure of 10.5 ± 1.2 cmH2O (mean ± SD) while the “PRF-augmented group” had a leak pressure of 47.2 ± 2.6 cm H2O. This difference was statistically significant (p < 0.001; paired t test). Conclusions: Autologous platelet rich fibrin augmentation reliably reinforced watertight closure of the dura mater to a > 4-fold increased leak pressure after failure of the initial standard running suture technique.
KW  - Watertight Dural closure
KW  - Dural onlays
KW  - Autologous biomaterial
KW  - Neurosurgery
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62733
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-627337
SN  - 0942-0940
N1  - A Correction to this article was published on 03 September 2021. DOI: 10.1007/s00701-021-04907-y
N1  - Open Access funding enabled and organized by Projekt DEAL.
VL  - 162
IS  - 4
SP  - 737
EP  - 743
PB  - Springer
CY  - Wien [u.a.]
ER  -