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Experimental study demonstrates prompt watertight sealing and low adhesion with woven Vicryl mesh during pia arachnoid injury, suggesting strong potential as an absorbable dural substitute.
Previously presented data showed that Vicryl mesh was a potentially effective dural grafting material. It is easily handled, relatively inexpensive, absorbed over time, and elicits a minimal inflammatory response. The present experimental project was conducted to investigate the effectiveness of a tightly woven version of the material as a watertight seal and to evaluate its performance in the presence of pia arachnoid injury. The mesh formed a seal promptly and adhesion formation was slight. Tightly woven Vicryl mesh appears to have a significant potential as an absorbable dural substitute.
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Nussbaum et al. (1989) studied this question.
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