Decompressive craniectomy with watertight duroplasty and without watertight duroplasty – advantages and disadvantages


Authors: Š. Trnka 1;  L. Jurák 2;  D. Krahulík 1;  P. Stejskal 1;  J. Jablonský 1;  L. Hrabálek 1;  D. Pohlodek 1
Authors‘ workplace: Neurochirurgická klinika LF UP a FN Olomouc 1;  Krajská nemocnice Liberec, a. s. 2
Published in: Cesk Slov Neurol N 2023; 86(1): 69-73
Category: Original Paper
doi: https://doi.org/10.48095/cccsnn202369

Overview

Background: Decompressive craniectomy (DC) is a life-saving neurosurgical procedure with several technical options. Aim: The aim of this study was to compare the results of the DC surgical technique with and without duroplasty performed at two neurosurgery departments. Methods: A retrospective bicentric study evaluated the occurrence of complications (i.e., infection, cerebrospinal fluid fistula, hematoma) in both compared techniques. Results: The study did not demonstrate a statistically significantly higher incidence of complications such as infection (P = 0.539), cerebrospinal fluid fistula (P = 0.826) or hematoma (P = 0.720). No infectious complications or cerebrospinal fluid fistula were recorded in both observed groups after cranioplasty. The complication in the form of hematoma was statistically insignificant (P = 0.155). A statistically significant difference was found in the operative time of cranioplasty performed after DC with duroplasty (median 53 min) and after DC without duroplasty (median 90 min; P = 0.006). Conclusion: DC without duroplasty is a potentially safe option that is not burdened by a higher incidence of complications in terms of infection or the formation of cerebrospinal fluid fistula and hematoma.

Keywords:

decompressive craniectomy – traumatic brain injury – cranioplasty – duroplasty


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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