{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T04:10:41Z","timestamp":1665202241161},"reference-count":20,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Cerebrospinal fluid (CSF) leakage is a common complication of ventriculoperitoneal shunt (VPS) and has the potential to induce shunt infection. Especially in infants and children, these are serious complications. DuraGen is a collagen matrix dural substitute used to reduce the risk of CSF leakage in various neurosurgeries. We report our VPS procedure with DuraGen for preventing postoperative CSF leakage in patients aged &lt;1 year.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>We used DuraGen to prevent postoperative CSF leakage in six VPS surgeries. Antibiotic-impregnated shunt catheters and programmable valves with anti-siphon devices were also used in all cases. DuraGen was placed inside and atop the burr hole. All cases had an initial shunt pressure of 5 cmH2O. Fibrin glue was not used.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>The patients underwent follow-up for a year after VPS surgery. There was no postoperative subcutaneous CSF collection or leakage after all six VPS surgeries. Furthermore, no postoperative shunt infections or DuraGen-induced adverse events were noted.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>We speculate that DuraGen has a preventive effect on postoperative CSF leakage in VPS cases aged &lt;1 year.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_629_2022","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T06:43:05Z","timestamp":1665124985000},"page":"461","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The collagen matrix dural substitute graft prevents postoperative cerebrospinal fluid leakage after ventriculoperitoneal shunt surgery in patients aged &lt;1 year"],"prefix":"10.25259","volume":"13","author":[{"given":"Masanori","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuki","family":"Oyoshi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima City Hospital, Kagoshima, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsuko","family":"Tanoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichiro","family":"Komasaku","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayuta","family":"Higa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Hosoyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Tokimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kagoshima City Hospital, Kagoshima, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Ibara","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Kagoshima City Hospital, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Hanaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Yoshimoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"10.25259\/SNI_629_2022\/ref-1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s11908-014-0427-8","article-title":"Microbiology and treatment of cerebrospinal fluid shunt infections in children","volume":"16","author":"Adams","year":"2014","journal-title":"Curr Infect Dis Rep"},{"key":"10.25259\/SNI_629_2022\/ref-2","first-page":"9","article-title":"Suitability of collagen matrix as a dural graft in the repair of experimental posterior fossa dura mater defects","volume":"16","author":"\u00c7etin","year":"2006","journal-title":"Turk Neurosurg"},{"key":"10.25259\/SNI_629_2022\/ref-3","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1056\/NEJMra035415","article-title":"Treatment of infections associated with surgical implants","volume":"350","author":"Darouiche","year":"2004","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_629_2022\/ref-4","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1159\/000028806","article-title":"Does age or other factors influence the incidence of ventriculoperitoneal shunt infections?","volume":"30","author":"Davis","year":"1999","journal-title":"Pediatr Neurosurg"},{"key":"10.25259\/SNI_629_2022\/ref-5","doi-asserted-by":"crossref","first-page":"389","DOI":"10.3171\/jns.1983.59.3.0389","article-title":"Cerebrospinal fluid shunt infections. 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