Tạo hình hộp sọ và dẫn lưu não thất ổ bụng đồng thời điều trị giãn não thất sau phẫu thuật mở sọ giảm áp do chấn thương: Kinh nghiệm tại Bệnh viện Quân y 103

Abstract

Objective: To evaluate the outcomes of simultaneous cranioplasty and ventriculoperitoneal shunting in the treatment of hydrocephalus following traumatic decompressive craniectomy.
Subject and method: A retrospective study including 48 patients with hydrocephalus post-decompressive craniectomy, who underwent simultaneous ventriculoperitoneal shunt and cranioplasty from 01/2022 to 09/2023 at 103 Military Hospital, with a minimum follow-up period of 30 days. Patient characteristics, clinical data, and complications were collected and analyzed. Result: The average age was 54.35 ± 14.95, with a male/female ratio of 2.2/1. The average time from decompressive craniectomy to surgery was
2.46 ± 0.85 months. 85.4% of patients had a cranial defect larger than half of a hemisphere. The overall complication rate post-surgery was 16.87%, including subdural and epidural fluid collection, hemorrhage, and postoperative seizures. There were no cases of infection, shunt system issues, or need for reoperation. Conclusion: Simultaneous ventriculoperitoneal shunt placement and cranioplasty appear to be an effective and safe method for treating cranial defect and hydrocephalus following traumatic decompressive craniectomy, with a low complication rate. However, due to the lack of a control group for comparison, these conclusions should be considered within limitations and further validated through additional research.