EARLY METHODS OF PREVENTION AND TREATMENT OF POSTOPERATIVE PSEUDOMENINGOCELE OF THE HEAD

To summarize the accumulated experience and compare the available materials for plastic surgery of dura mater (DM) defects. An increasing number of patients who have suffered a traumatic brain injury and an increasing number of neurosurgical operations for tumor processes, congenital malformations leads to an increase in the number of DM defects and related complications. Despite the development of technologies for obtaining highly effective medical devices, the percentage of postoperative liquorrhea is still high, with subtentorial localization of the defect reaches 32%. Complications such as pseudomeningocele, postoperative inflammatory processes, liquorrhea, implant rejection, scar-adhesive processes leave unresolved the question of finding a suitable substitute for DM defects. The article presents an overview of the main materials for closing defects of DM: autografts, biological, synthetic materials. Their positive and negative qualities are discussed depending on the type and localization of damage, the type of material used. The analysis of the main characteristics that an ideal substitute for DM should correspond to is carried out. Composite materials are considered as a promising direction for the development of modern bioengineering.

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