Abstract

Objectives

Duraplasty is crucial for optimal healing of the wound site and prevention of potential complications. This study focuses on the technical nuances of our developed “folding technique” for duraplasty during surgery, and the clinical implications of this technique compared to the traditional primary duraplasty technique.

Materials and Methods

Hospital records of patients who underwent intracranial surgery with synthetic dural material for duraplasty in the Department of Neurosurgery at Ankara University Faculty of Medicine between 2023 and 2024 were retrospectively evaluated. Patients were divided into two groups: those undergoing duraplasty with the folding technique (Group 1) and those undergoing primary duraplasty (Group 2). Specific criteria were used to evaluate the two groups.

Results

A total of 77 patients were included in the study, with 43 (55.8%) in Group 1 and 34 (44.2%) in Group 2. There was a significant difference between the two groups in terms of the application of craniotomy and craniectomy, with the majority of patients in the primary technique group undergoing craniotomy. Additionally, the length of hospital stay was significantly shorter in the group where the folding technique was used. No significant differences were observed in other parameters.

Conclusion

The “Folding Technique” in duraplasty is comparable to traditional primary stitching in preventing cerebrospinal fluid leakage during the waterproof stitching process, and it yields more successful results in certain aspects. The folding technique provides a safe, effective, and practical method for duraplasty.