The limits of surgical management of traumatic coma

It appears, on the whole, that the better results we are now able to attain in the treatment of traumatic coma are unrelated to a real improvement in surgical possibilities. The role of surgery seems, conversely, to be more limited than in previous times. Surgical intervention still keeps strictly mandatory whenever intracranial hypertension is related to extracranial effusions while, in brain contusion/lacerations, it is warranted only in selected cases.