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Cranioplasty Results after Application of Anti-adhesive Films (OrthoWrap™) in Traumatic Decompressive Craniectomy | ||
| Bulletin of Emergency And Trauma | ||
| مقاله 3، دوره 4، Issue 1، فروردین 2016، صفحه 24-28 اصل مقاله (1.06 M) | ||
| نویسندگان | ||
| Hosseinali Khalili1؛ Aydin Omidvar* 2؛ Fariborz Ghaffarpasand1؛ Golnaz Yadollahikhales1 | ||
| 1Shiraz University of Medical Sciences | ||
| 2Neurosurgery Department, Shiraz University of Medical Sciences | ||
| چکیده | ||
| Objective: To determine the effects of application of anti-adhesive films (OrthoWrap™) in traumatic decompressive craniectomy on prevention of adhesion formation and facilitation of subsequent cranioplasty.Methods: This was a retrospective cohort study being performed in Shahid Rajaei hospital (Shiraz Level I trauma center) during a 12-month period (from March 2012 to April 2013) including 93 patients undergoing traumatic decompressive craniectomy. Patients who received OrthoWrap™ during the initial craniectomy (n=44) were compared to those who did not (n=49). Two study groups were matched regarding the baseline characteristics. The perioperative indices including the surgical time, amount of bleeding, transfusion and 6-month Glasgow Outcome Scale (GOS) were compared between two study groups.Results: There was no significant difference between two study groups regarding the baseline characteristics. We found that the cranioplasty duration (113.3±33.2 vs. 146.9±34.9 minutes; p<0.001) and amount of intraoperative bleeding (182.1±98.3 vs. 270.6±77.6 mL; p=0.043) was significantly lower in those who had OrthoWrap™ compared to control group. The final GCS (p=0.052) as well as GOSE (p=0.653) was comparable between groups. The infection rate was comparable between two study groups (p=0.263).Conclusion: Application of OrthoWrap™ during decompressive craniectomy in those with severe traumatic brain injury is associated with shorter duration of operation and less intraoperative bleeding in subsequent cranioplasty. Infection rate and neurologic outcome was comparable between study groups. | ||
| کلیدواژهها | ||
| Decompressive craniectomy؛ Anti-adhesive Films (OrthoWrap™)؛ Craniplasty | ||
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آمار تعداد مشاهده مقاله: 623 تعداد دریافت فایل اصل مقاله: 236 |
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