Dural Graft
Dural Substitute · Dura Substitute · Dural Patch · Dural Graft Matrix · DuraGen · DuraGen Plus
A thin, soft, white sheet that replaces missing or torn duraDOOR-uhThe tough outer layer of the membranes that cover the brain and spinal cord.Full entry . Synthetic versions such as DuraGen Plus are a porous, pliable collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry matrix supplied sterile in peel packs.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Covers a dural defect that is too large to close with sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry after a craniotomykray-nee-OT-uh-meeSurgery in which a piece of the skull is removed to reach the brain, and usually put back at the end.crani/o skull-tomy cutting intoFull entry , so cerebrospinal fluidser-uh-broh-SPY-nul FLOO-idThe clear, watery fluid that bathes and cushions the brain and spinal cord.cerebr/o brainspin spine-al relating toFull entry does not leak. It is cut to size and sutured or laid over the defect. Other graftGRAFTTissue or a man-made material moved into place in surgery to replace or repair a damaged part.Full entry choices are the patient's own temporalis fasciaFASH-ee-uhA sheet or band of tough connective tissue that covers and separates muscles and organs.fasci/o bandFull entry , pericranium or fascia lata, or bovine pericardiumpair-ih-KAR-dee-umThe thin, two-layered sac that surrounds the heart.peri- aroundcardi/o heart-um a structureFull entry .
Lengths and variants
Biologic (patient's own fasciaFASH-ee-uhA sheet or band of tough connective tissue that covers and separates muscles and organs.fasci/o bandFull entry or pericranium), animal-derived (bovine pericardiumpair-ih-KAR-dee-umThe thin, two-layered sac that surrounds the heart.peri- aroundcardi/o heart-um a structureFull entry , collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry matrix) and synthetic substitutes. DuraGen Plus comes in a variety of sizes, single use.
What experienced techs know
What techs who reach for it every day know about it.Pro
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3 sources
- Goldman. Pocket Guide to the Operating Room. 3rd ed. Chapter 24 (Neurologic Surgery), p. 646
- Fuller. Surgical Technology: Principles and Practice. 6th ed. Chapter 36 (Neurosurgery), p. 1014
- fda.innolitics.com
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