Authors
Hazratkulov R.B.
Republican Specialized Scientific and Practical Medical Center of Neurosurgery, Tashkent, Republic of Uzbekistan
Abstract
342 patients with traumatic intracranial hematomas underwent the treatment course. Decompressive craniесtomy was performed in 222 (64.9%), craniotomy in 120 (35.1%) patients. Postoperative complications were registered in 28% of patients after craniectomy and in 23% after craniotomy. Factors for the formation of recurrent and delayed hematomas were the age of the patients, presence of fractures of the skull bones, large amount of hematoma. The most frequent complications were purulent-inflammatory, caused by penetrating traumatic brain injury, extensive wounds of the external covers of the skull, reduced immunological protective properties of the body, infection. Liquorodynamic complications, typified by dysresorbtive hydrocephalus (1.4%) and subdural hydroma (4.1%), were more often observed after decompressive craniectomy.
Keywords: traumatic intracranial hematomas, early and late postoperative complications.
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