Results of decompressive trepanation in severe traumatic brain injury

Objective. Improving the results of treatment of patients with severe traumatic brain injury by improving and determining the optimal technique of decompressive trepanation of the skull, substantiating differentiated indications for its use and studying postoperative dynamics. Material and methods. The analysis of management results of 107 patients (89 men, 18 women) with severe traumatic brain injury was presented. The age of the victims ranged from 16 to 84 years. The average age of the patients was 42.7±5.8 years. Decompressive trepanation of the skull was performed in all patients. Results. For the first time in the Kyrgyz Republic, a prospective randomized study was conducted on the use of the method of decompressive trepanation of the skull in victims with traumatic intracranial hematomas and foci of brain injury. The indications and contraindications to the use of decompressive trepanation of the skull in patients with severe TBI in the presence of cerebral edema have been clarified. Risk factors for the development of an unfavorable outcome in patients with severe TBI after decompressive trepanation of the skull were determined