41 cases of re-operation using decompressive craniectomy after craniotomy in patients with traumatic mass lesions
ZHAO He-xiang
XU Ding
YANG Chao-hua
Abstract：Objective To analyze the experience of re-operation using decompressive craniectomy (DC) to treat the patients with severe traumatic brain injury (sTBI) for mass lesions. Methods From Jan.2008 to Oct.2014, the sTBI patients who underwent craniotomy for mass lesion evacuation in West China Hospital were retrospectively reviewed.The initial demographic and radiographic features were analyzed to identify risk factors of secondary DC requirement. Results There were 41 patients who underwent re-operation using DC, including 34 cases of regional edema and progressive traumatic hematoma, 6 cases of focal neonatal hematoma and 1 case of remote site hematoma. Conclusion The incidence of re-operation using DC after craniotomy was 14.4%.For most mass lesions patients without malignant brain swelling, craniotomy is an acceptable surgical method in primary intervention.For patients with subdural hematoma associated contusion, early hypotension and higher initial intracranial pressure (>35mmHg), DC may be required.
Keywords：traumatic brain injurydecompressive craniectomyre-operationintracranial pressure
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 379-381 )