Rapid closure technique in decompressive craniectomy

Journal of Neurosurgery
Erdem GüresirJürgen Beck

Abstract

The object of this study was to describe the rapid closure technique in decompressive craniectomy without duraplasty and its use in a large cohort of consecutive patients. Between 1999 and 2008, supratentorial rapid closure decompressive craniectomy (RCDC) was performed 341 times in 318 patients at the authors' institution. Cases were stratified as 1) traumatic brain injury, 2) subarachnoid hemorrhage, 3) intracerebral hemorrhage, 4) cerebral infarction, and 5) other. A large bone flap was removed and the dura mater was opened in a stellate fashion. Duraplasty was not performed-that is, the dura was not sutured, and a dural substitute was neither sutured in nor layed on. The dura and exposed brain tissue were covered with hemostyptic material (Surgicel). Surgical time and complications of this procedure including follow-up (> 6 months) were recorded. After 3-6 months cranioplasty was performed, and, again, surgical time and any complications were recorded. Rapid closure decompressive craniectomy was feasible in all cases. Complications included superficial wound healing disturbance (3.5% of procedures), abscess (2.6%) and CSF fistula (0.6%); the mean surgical time (± SD) was 69 ± 20 minutes. Cranioplasty was performed in 196 ca...Continue Reading

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Citations

Jun 12, 2013·Nature Reviews. Neurology·Angelos G KoliasPeter J Hutchinson
Aug 6, 2013·Journal of Neurosurgery·Nan-Xiang Xiong
Feb 12, 2013·Journal of Neurosurgery·Azeem O OladunjoyeKiarash Shahlaie
Feb 15, 2014·BioMed Research International·Gabriele RonchettiMarco Maria Fontanella
May 27, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Reuben D JohnsonPeter J Teddy
Dec 15, 2015·Journal of Neurosurgery·Rohit Khanna, Lisa Ferrara
Apr 12, 2015·Neurosurgical Review·Arthur R Kurzbuch
Sep 18, 2016·Neurosurgery Clinics of North America·Hadie AdamsPeter J Hutchinson
Oct 19, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Yujia ZhouXiaoyong Wang
Sep 14, 2013·Surgical Neurology International·Sameer Futane, Pravin Salunke
Sep 29, 2017·Neurosurgical Review·Alexis HadjiathanasiouErdem Güresir
Dec 5, 2017·Korean Journal of Neurotrauma·Jong Min LeeJong Wook Choi
Dec 29, 2011·Journal of Neurotrauma·Patrick SchussErdem Güresir
Nov 1, 2012·Stroke; a Journal of Cerebral Circulation·Christian FungJürgen Beck
Jul 21, 2011·The Journal of Craniofacial Surgery·Saniya Siraj GodilZain A Sobani
Dec 1, 2018·Journal of Neurosurgery·Alessa SchützPhilippe Schucht
May 28, 2011·British Journal of Neurosurgery·Sandeep MohindraSunil K Gupta
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Nobutaka Yoshioka
Jan 10, 2014·Neurosurgery·Pankaj K AgarwallaChristopher S Ogilvy
Aug 31, 2020·Neurologia Medico-chirurgica·Mutsumi NagaiMasaaki Hashimoto
May 5, 2018·Journal of Neurosurgery·Gopalakrishnan Madhavan Sasidharan
Sep 29, 2011·Neurosurgery·Erdem GüresirHartmut Vatter
Feb 12, 2017·Neurosurgical Review·R B MoringlaneK L V Eckardstein
Jun 3, 2015·Neurocritical Care·David B KurlandJ Marc Simard
Jun 5, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Baris OzonerAdem Yilmaz
Apr 21, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Martin HankoBranislav Kolarovszki
Nov 22, 2020·Annals of Neurology·Nils HechtJohannes Woitzik
Apr 1, 2021·Acta neurochirurgica·Michael VeldemanHans Clusmann
Dec 1, 2020·Journal of Neurosurgical Sciences·Friedrich MroskPeter Vajkoczy
Sep 26, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Martin VychopenErdem Güresir

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