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We have read and appreciated the new technique presented by Di Vitantonio et al. in the article Dural repair using autologous fat: Our experience and review of the literature. Surg Neurol Int 2016 Jul 7;7(Suppl 16):S463‐8. Neurosurgery is a unique type of surgery in which we have to face difficult and articulate reconstructions; the greater the procedure is, the harder the reconstructive techniques are, and often the results are arduous to obtain. Therefore, the search of newer devices and materials is strongly encouraged, and it seems to progress daily with new achievements. Regarding the progress of reconstructing dura mater and even fill the larger defects, we were fascinated by the proposed technique of engrafting autologous abdominal fat to ensure the water tight closure of the dura and to fill the dead space during cranial procedures, rather than using dural substitutes.[1]

Natura abhorret a vacuo. Future perspectives of autologous fibrin glue. Is it time for reappraisal?