К ВОПРОСУ ПРЕВЕНЦИИ И РАННЕЙ ИДЕНТИФИКАЦИИ ХАРАКТЕРА И ПРИЧИН ПОСЛЕОПЕРАЦИОННЫХ ОСЛОЖНЕНИЙ ПРИ ВМЕШАТЕЛЬСТВАХ ПО ПОВОДУ РАЗЛИЧНЫХ КЛИНИКО-АНАТОМИЧЕСКИХ ФОРМ ТЯЖЕЛОЙ ЧЕРЕПНО-МОЗГОВОЙ ТРАВМЫ
Open Access
- 23 August 2021
- journal article
- Published by RS Global Sp. z O.O. in World Science
Abstract
The analysis of the causes of postoperative complications was carried out, as well as of the failures and errors or the same omissions in postoperative management. The total number of cases was 177 (5%) among more than 3500 patients, being operated on various clinical and anatomical forms of craniocerebral trauma.In 63.8% (in 113 patients), worsening of condition was associated with the postoperative hemorrhage, which in 54% of cases was shell- recurrent. In 36.6% of observations (in 64 patients), deteriorated states of the brain swelling or edema were associated with an increase of cerebral edema.The main causes of the postoperative volume hemorrhages were the inadequacy of homeostasis and fluctuations in blood pressure during the first hours and days after surgery, with a tendency of significant increase of that latter. Diagnostic errors were the result of underestimation or incorrect evaluation of neurological symptoms and clinical signs of repeated volumetric hemorrhages.Late diagnosis of postoperative complications resulted in a lethal outcome in 79 (44.6%) cases among 177 patients with the complications in the postoperative process. Neurological and clinical signs and their combinations characteristic for postoperative volumetric hemorrhages are given in the article, as well as are offered the ways of their prevention.This publication has 8 references indexed in Scilit:
- Incidence of Postoperative Hematomas Requiring Surgical Treatment in Neurosurgery: A Retrospective Observational StudyWorld Neurosurgery, 2017
- Risk Factors for the Development of Contralateral Epidural Hematoma Following Decompressive Craniectomy in Patients with Calvarial Skull Fracture Contralateral to the Craniectomy SiteWorld Neurosurgery, 2016
- Contralateral extraaxial hematomas after urgent neurosurgery of a mass lesion in patients with traumatic brain injuryEuropean Journal of Trauma and Emergency Surgery, 2013
- Contralateral Acute Epidural Hematoma After Decompressive Surgery of Acute Subdural Hematoma: Clinical Features and OutcomeThe Journal of Trauma and Acute Care Surgery, 2008
- Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive casesActa Neurochirurgica, 2008
- Post-Operative Expansion of Hemorrhagic Contusions after Unilateral Decompressive Hemicraniectomy in Severe Traumatic Brain InjuryJournal of Neurotrauma, 2008
- Extradural hematoma during craniotomyJournal of Neurosurgery, 1974
- Traumatic intracerebral hematomaJournal of Neurosurgery, 1972