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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/1811
Title: Aspecte chirugicale actuale de tratament endoscopic al hematoamelor traumatice subdurale cronice
Other Titles: Contemporary neurosurgical treatment of cronic posttraumatic subdural hematomas using endoscopic aproach
Authors: Gumeniuc, Anatolie
Issue Date: 2010
Publisher: CEP Medicina
Citation: GUMENIUC, Anatolie. Aspecte chirugicale actuale de tratament endoscopic al hematoamelor traumatice subdurale cronice. In: Anale Științifice ale USMF “Nicolae Testemiţanu”. Ed. a 11-a. Chișinău: CEP Medicina, 2010, vol. 4: Probleme clinico-chirurgicale, pp. 159-170.
Abstract: Chronic subdural hematoma(CSDH) is one of the commones conditions requiring neurosurgical intervention. A consequent choice of clinic and paraclinic methods of examination, the management and the volume of surgical treatment, influence the reducing of lethality in treatment of late posttraumatic supratentorial subdural hematomas from 28,6% to 1.1%. Surgical treatments for CSDH include removal of hematoma by craniotomy,irrigation by burr-hole with or without dranage,dranage by a closed system without irrigation,subdural-peritoneal shunt,neuroendoscopic evacuation. CONCLUSIONS: -The treatment of late posttraumatic subdural hematomas using endoscopic methods raise the visualization of hematoma cavity by penetrating visceral capsula for restoring the licvorodinamics. -The endoscopic coagulation is a better procedure than the classic methods, because the new hemoragies are avoided. -The mini invasive neurosurgical intervention offers a better medico-financial balance. Hematoamele subdurale cronice este una din entităţile patologice care necesită intervenţie chirurgicală. Alegerea ulterioară a metodelor de examinare clinică şi paraclinică, a tacticii şi volumului tratamentului chirurgical influienţează reducerea letalităţii în tratamentul hematoamelor subdurale supratentoriale posttraumatice de la 28,6% la 1,1%. Tratamentul chirurgical al hematoamelor subdurale cronice include evacuarea hematomului prin craniotomie, lavaj prin orificiu de trepan cu sau fără drenaj, drenaj prin sistem închis fără lavaj, şunt subdural – peritoneal, evacuare endoscopică. CONCLUZII: - Tratamentul hematoamelor subdurale posttraumatice tardive utilizând metodele endoscopice majorează vizualizarea cavităţii hematomului prin penetrarea capsulei viscerale pentru restabilirea circulaţiei lichidiene. - Coagularea endoscopică este o metodă mai bună decât cele clasice din cauza prevenirii sângerărilor noi. - Intervenţiile neurochirurgicale minimal invazive oferă un echilibru mai bun medico-financiar.
URI: http://repository.usmf.md/handle/20.500.12710/1811
Appears in Collections:Neurochirurgie

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