• Hassan Saad, Khaled M Krisht, Wei-Hsun Yang, Miguel Angel Lopez-Gonzalez, Emad Aboud, and Ali F Krisht.
• Arkansas Neuroscience Institute, CHI St. Vincent Infirmary, Little Rock, Arkansas, USA.
• World Neurosurg. 2017 Nov 1; 107: 308-313.

BackgroundDissection of brain surface adhesions during recurrent glioma surgery carries a risk of injury to cortical vessels and important surface vessels. We present our experience with the use of BioD film, a biocompatible amniotic membrane implant, to help prevent postoperative adhesions. We describe a novel method for preventing postoperative adhesions after high-grade glioma surgery using BioD film.MethodsAmniotic sac implants were laid on the brain surface after resection of gliomas located near major surface arteries (sylvian fissure) and major veins (parasagittal convexity). Seven cases involved reoperation for tumor recurrence.ResultsIn all 7 of the cases requiring reoperation, a new arachnoid-like surface layer was formed without any dural adhesions. The newly formed layer allowed for easy and simple dissection and mobilization of surface vessels while avoiding any trauma to the cortex.ConclusionsAmniotic sac implants have a promising role in preventing most surgical brain adhesions associated with recurrent glioma surgery, reducing the risks of cortical vessel and tissue injury.Copyright © 2017 Elsevier Inc. All rights reserved.

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