tailieunhanh - Báo cáo y học: "Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury. | Int. J. Med. Sci. 2010 7 385 International Journal of Medical Sciences 2010 7 6 385-390 Ivyspring International Publisher. All rights reserved Review Technical Considerations in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury X. Huang L. Wen H Department of Neurosurgery First Affiliated Hospital College of Medicine Zhejiang University Hangzhou Zhejiang Province China H Corresponding author Dr. Liang Wen Department of Neurosurgery First Affiliated Hospital College of Medicine Zhejiang University Qingchun Road Hangzhou City 310003 Zhejiang Province PR China. wenliang@ or wenlneuron@. Phone 86571-877236803 Fax 86571-877236803 Received Accepted Published Abstract Refractory intracranial hypertension is a leading cause of poor neurological outcomes in patients with severe traumatic brain injury. Decompressive craniectomy has been used in the management of refractory intracranial hypertension for about a century and is presently one of the most important methods for its control. However there is still a lack of conclusive evidence for its efficacy in terms of patient outcome. In this article we focus on the technical aspects of decompressive craniectomy and review different methods for this procedure. Moreover we review technical improvements in large decompressive craniectomy which is currently recommended by most authors and is aimed at increasing the decompressive effect avoiding surgical complications and facilitating subsequent management. At present in the absence of prospective randomized controlled trials to prove the role of decompressive craniectomy in the treatment of traumatic brain injury these technical improvements are valuable. Key words Decompressive Craniectomy Traumatic Brain Injury Introduction Decompressive craniectomy which is performed worldwide for the treatment of severe traumatic brain injury TBI is a surgical procedure in which part of the skull is removed to allow the