A Survey about Surgical Preferences in Operative Technique in Decompressive Craniectomy in Traumatic Brain Injury

Abstract

Traumatic brain injury is a public health problem. The control of intracranial hypertension is a key strategy for managing this type of patients. Decompressive craniectomy is a measure of second level for the control of intracranial hypertension refractory to medical management. In order to assess trends in relationship to the management of decompressive craniectomy, a survey was designed and sent to neurosurgeons from various countries. We discuss the results for a better standardization of surgical techinique. Decompressive craniectomy is a saving technique and usefulness depend on a correct realization of the neurosurgical procedure.