CRANIOPLASTY RESULTS AFTER APPLICATION OF ANTI-ADHESIVE FILMS (ORTHOWRAPTM) IN TRAUMATIC DE COMPRESSIVE CRANIECTOMY

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KHALILI HOSSEINALI; OMIDVAR AYDIN; GHAFFARPASAND FARIBORZ; YADOLLAHIKHALES GOLNAZ

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Journal: BULLETIN OF EMERGENCY AND TRAUMA Year:2016 | Volume:4 | Issue:1 Page(s): 24-28

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Title

CRANIOPLASTY RESULTS AFTER APPLICATION OF ANTI-ADHESIVE FILMS (ORTHOWRAPTM) IN TRAUMATIC DE COMPRESSIVE CRANIECTOMY

Author(s)

KHALILI HOSSEINALI | OMIDVAR AYDIN | GHAFFARPASAND FARIBORZ | YADOLLAHIKHALES GOLNAZ | Issue Writer Certificate

Keywords

DE COMPRESSIVE CRANIECTOMY

ANTI-ADHESIVE FILMS (ORTHOWRAPTM)

CRANIPLASTY

Abstract

Objective: To determine the effects of application of anti-adhesive films (OrthoWrapTM) in traumatic decompressive craniectomy on prevention of adhesion formation and facilitation of subsequent cranioplasty.Methods: This was a retrospective cohort study being performed in ShahidRajaei hospital (Shiraz Level I trauma center) during a 12-month period (from March 2012 to April 2013) including 93 patients undergoing traumatic decompressivecraniectomy.Patients who received OrthoWrapTM during the initial craniectomy (n=44) were compared to those who did not (n=49). Two study groups were matched regarding the baseline characteristics. The perioperative indices including the surgical time, amount of bleeding, transfusion and 6-month Glasgow Outcome Scale (GOS) were compared between two study groups.Results: There was no significant difference between two study groups regarding the baseline characteristics. We found that the cranioplasty duration (113.3±33.2 vs. 146.9±34.9 minutes; p<0.001) and amount of intraoperative bleeding (182.1±98.3 vs. 270.6±77.6 mL; p=0.043) was significantly lower in those who had OrthoWrapTM compared to control group. The final GCS (p=0.052) as well as GOSE (p=0.653) was comparable between groups. The infection rate was comparable between two study groups (p=0.263).Conclusion: Application of OrthoWrapTM during decompressive craniectomy in those with severe traumatic brain injury is associated with shorter duration of operation and less intraoperative bleeding in subsequent cranioplasty. Infection rate and neurologic outcome was comparable between study groups.

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APA: Copy

KHALILI, HOSSEINALI, OMIDVAR, AYDIN, GHAFFARPASAND, FARIBORZ, & YADOLLAHIKHALES, GOLNAZ. (2016). CRANIOPLASTY RESULTS AFTER APPLICATION OF ANTI-ADHESIVE FILMS (ORTHOWRAP^TM) IN TRAUMATIC DE COMPRESSIVE CRANIECTOMY. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 4(1), 24-28. SID. https://sid.ir/paper/335062/en

Vancouver: Copy

KHALILI HOSSEINALI, OMIDVAR AYDIN, GHAFFARPASAND FARIBORZ, YADOLLAHIKHALES GOLNAZ. CRANIOPLASTY RESULTS AFTER APPLICATION OF ANTI-ADHESIVE FILMS (ORTHOWRAP^TM) IN TRAUMATIC DE COMPRESSIVE CRANIECTOMY. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2016;4(1):24-28. Available from: https://sid.ir/paper/335062/en

IEEE: Copy

HOSSEINALI KHALILI, AYDIN OMIDVAR, FARIBORZ GHAFFARPASAND, and GOLNAZ YADOLLAHIKHALES, “CRANIOPLASTY RESULTS AFTER APPLICATION OF ANTI-ADHESIVE FILMS (ORTHOWRAP^TM) IN TRAUMATIC DE COMPRESSIVE CRANIECTOMY,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 4, no. 1, pp. 24–28, 2016, [Online]. Available: https://sid.ir/paper/335062/en

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