An article of manufacture in the form of an incursion repair material arranged to establish a watertight seal about an incursion such as a durotomy and secured in place by a securing mechanism. The incursion material may be graft material and/or a flange of selectable shape and size and made of a material suitable to remain in position on the incursion. The incursion repair material is used in a surgical procedure to seal the incursion. The material may be secured in place with one or more sutures only. It may also be secured in place with devices anchored in underlying substrate, such as bone or scar tissue.