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Related Concept Videos

Psychosurgery01:30

Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Does Plastic Surgery Involvement Decrease Complications After Cranioplasty? A Retrospective Cohort Study.

Robert J Dambrino1, Jeffrey W Chen2, Hani Chanbour1

  • 1Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

World Neurosurgery
|October 4, 2022
PubMed
Summary
This summary is machine-generated.

Cranioplasty outcomes were similar between neurosurgery-only (N) and neurosurgery plus plastic surgery (N+P) teams regarding reoperation and complication rates. However, the N+P group experienced longer drain use and placement duration.

Keywords:
CranioplastyInfectionNeurosurgeryPlastic surgeryReoperations

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Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Surgical Outcomes

Background:

  • Cranioplasty is a surgical procedure to repair skull defects.
  • Comparing surgical approaches can optimize patient outcomes.
  • Multidisciplinary teams may influence surgical results.

Purpose of the Study:

  • To compare postoperative outcomes of cranioplasties performed by neurosurgery only (N) versus neurosurgery and plastic surgery combined (N+P).

Main Methods:

  • Retrospective cohort study of 188 cranioplasties from November 2006 to December 2021.
  • Primary exposure: operating team (N vs. N+P).
  • Outcomes assessed: reoperation, surgical site infections, complications, length of stay, and drain placement.

Main Results:

  • No significant differences in reoperation rates (18.9% N vs. 15.9% N+P) or overall complications.
  • The neurosurgery-only group had shorter drain use (58.5% vs. 85.4%) and earlier drain removal (1.9 vs. 3.4 days).
  • Multivariate analysis indicated N+P was associated with increased drain use and longer drain duration.

Conclusions:

  • Cranioplasty performed by neurosurgery alone or combined with plastic surgery shows similar rates of reoperation and complications.
  • The combined approach (N+P) was associated with increased and prolonged drain usage.
  • While reoperation timing differed slightly, overall complication profiles were comparable between the two surgical teams.