Augmentation of Decompressive Craniectomy Using COM 30 Bandage in the Treatment of Refractory Intracranial Hypertension

Czech version

Authors: V. Přibáň ^*; O. Teplý ^**; R. Cihlář ^***
Authors‘ workplace: *1. Neurochirurgické oddělení Nemocnice České Budějovice, primář MUDr. Vladimír Chlouba, 2. Neurochirurgická klinika LF MU Brno, přednosta prof. MUDr. M. Smrčka Ph. D. ; Neurochirurgické oddělení Nemocnice České Budějovice, primář MUDr. Vladimír Chlouba ^**; Anesteziologicko-resuscitační oddělení Nemocnice České Budějovice ^***
Published in: Rozhl. Chir., 2010, roč. 89, č. 9, s. 536-539.
Category: Monothematic special - Original

Overview

Authors present case-report of 29-year old man with acute subdural hematoma and contusions in right basal frontotemporal area. Despite adequate conservative treatment and surgical therapy (hematoma evacuation and decompressive craniectomy) uncontrollable intracranial hypertension occurred 4^th postoperative day. Situation has been effectively solved by resection of hemorrhagic temporal muscle together with duroplasty (fascia lata) and skin plastics using combined dressing fabric COM 30. Fabric was removed after eleven days followed skin suturing. Clinical status after four months is favorable, the patient is without neurological deficit. Bone flap return is planned.

Key words:
brain injury – intracranial hypertension – decompressive craniectomy – combined dressing fabric COM 30

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