Duraplasty type and complication rate in decompressive craniotomy:comparison of watertight duraplasty and rapid-closure methods

Year 2020, Volume: 13 Issue: 3, 733 - 737, 18.09.2020

Fatih Yakar

https://doi.org/10.31362/patd.737575

Abstract

Dekompresif kraniyektomilerde duraplasti tipi ve komplikasyon oranı: su geçirmez duraplasti ve hızlı kapama yöntemlerinin karşılaştırılması

Abstract

Amaç: Dekompresif kraniyektomi cerrahisi, nöroşirürji pratiğinde dirençli intrakraniyal hipertansiyonu düşürmek amacıyla sık olarak kullanılan bir yöntemdir. İşlem sırasında tercih edilebilen su geçirmez ya da hızlı kapama şeklinde su geçirmez olmayan duraplasti tipleri mevcuttur. Bu çalışmanın amacı, su geçirmez olmayan duraplastilerin operasyon sonrası dönemdeki komplikasyonları arttırıp arttırmadığını tespit etmektir.
Gereç ve yöntem: Eylül 2017-Ocak 2020 tarihleri arasında, farklı endikasyonlarla dekompresif kraniyektomi yapılan 19 hasta çalışmaya dahil edildi. Hastaların demografik bilgileri, perioperatif bulguları, komplikasyonları ve klinik faydalanma oranları değerlendirilmiştir.
Bulgular: Çalışmada kadın/erkek oranı 7/12 iken, yaş ortalaması 53,6±17,2 (yaş aralığı:22-82) idi. En sık dekompresif kraniyektomi endikasyonu travmaydı (%37, 7 hasta). Cilt altı sıvı koleksiyonu grup 1’de 1 hastada (%12.%), grup 2’de ise 2 hastada (%18) görüldü. Hastaların hiçbirinde yara yeri revizyonu yapılmadı. Mortal seyreden tüm vakalarda Glasgow koma skoru 8 puanın altında saptanmıştır.
Sonuç: Su geçirmez tarzda olmayan hızlı kapama duroplastisi, cerrahi komplikasyon riskini arttırmamaktadır ve güvenli/uygulanabilir bir yöntem olarak değerlendirilmektedir.

Keywords

Dekompresif kraniyektomi, duraplasti, su geçirmez

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