CRANIOTOMY WITH A HERMETIC CLOSURE OF THE CRANIAL CAVITY

  • Napoleon Meskhia Профессор, Нейрохирургический центр Западной Грузии, Акционерное общество "Ингурский Медицинский Комплекс", Сухуми, Грузия https://orcid.org/0000-0002-1829-3820
Keywords: postoperative complications; conical holes; bone flaps in the form of a truncated cone; tight closure of the cranial cavity; prevention of milling holes.

Abstract

Surgical intervention on the contents of the cranial cavity is universally carried out by applying several burr holes, which remain uncovered and serve as a site for the development of a number of postoperative complications. The lack of hemeticity of the skull in some cases require repeated intervention. The purpose of the proposal is to create a trepanation method that excludes the formation of burr holes and promotes hermetic closure of the cranial cavity, excluding the possibility of postoperative complications.
The goal is achieved by sawing out conical holes in the skull with the simultaneous formation of small bone flaps in the form of a truncated cone. A large bone fragment of a derivative form is cut out with the proposed tool or in the usual way with a Gigli or Olivecrona saw. In the absence of contraindications, a large bone flap is placed in place, and small bone fragments are combined with the place of their sawing, thereby restoring the integrity of the skull, which is closed at the end of the intervention.
The hermetic craniotomy method eliminates the possibility of developing postoperative complications inherent in craniotomy methods, carried out by applying burr holes.
The method of craniotomy, which provides for hermetic closure of the cranial cavity, among other things, returns the brain to its natural state, protected from all kinds of external influences, including postoperative complications

References

Костно-пластическая трепанация черепа. Retrieved from https://meduniver.com/Medical/Topochka/249.html

Декомпрессивная трепанация черепа. Retrieved from http://www.medicalenc.ru/17/stomatologia/hirurgiya/dekompressivnaya-trepanatsiya-cherepa.shtml

Ромоданов А.П. 1986. Атлас Операций на Головном Мозге. Москва. «Медицина»

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Published
2022-04-15
Citations
How to Cite
Napoleon Meskhia. (2022). CRANIOTOMY WITH A HERMETIC CLOSURE OF THE CRANIAL CAVITY. World Science, (3(75). https://doi.org/10.31435/rsglobal_ws/30042022/7805
Section
Medicine