{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:20:06Z","timestamp":1790709606816,"version":"4.1.0"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,4]]},"abstract":"\nObject<\/jats:title>\nThe object of this study was to describe the rapid closure technique in decompressive craniectomy without duraplasty and its use in a large cohort of consecutive patients.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nBetween 1999 and 2008, supratentorial rapid closure decompressive craniectomy (RCDC) was performed 341 times in 318 patients at the authors' institution. Cases were stratified as 1) traumatic brain injury, 2) subarachnoid hemorrhage, 3) intracerebral hemorrhage, 4) cerebral infarction, and 5) other. A large bone flap was removed and the dura mater was opened in a stellate fashion. Duraplasty was not performed\u2014that is, the dura was not sutured, and a dural substitute was neither sutured in nor layed on. The dura and exposed brain tissue were covered with hemostyptic material (Surgicel). Surgical time and complications of this procedure including follow-up (> 6 months) were recorded. After 3\u20136 months cranioplasty was performed, and, again, surgical time and any complications were recorded.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nRapid closure decompressive craniectomy was feasible in all cases. Complications included superficial wound healing disturbance (3.5% of procedures), abscess (2.6%) and CSF fistula (0.6%); the mean surgical time (\u00b1 SD) was 69 \u00b1 20 minutes. Cranioplasty was performed in 196 cases; the mean interval (\u00b1 SD) from craniectomy to cranioplasty was 118 \u00b1 40 days. Complications of cranioplasty included epidural hematoma (4.1%), abscess (2.6%), wound healing disturbance (6.1%), and CSF fistula (1%).<\/jats:p>\nCompared with the results reported in the literature for decompressive craniectomy with duraplasty followed by cranioplasty, there were no significant differences in the frequency of complications. However, surgical time for RCDC was significantly shorter (69 \u00b1 20 vs 129 \u00b1 43 minutes, p < 0.0001).<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nThe present analysis of the largest series reported to date reveals that the rapid closure technique is feasible and safe in decompressive craniectomy. The surgical time is significantly shorter without increased complication rates or additional complications. Cranioplasty after a RCDC procedure was also feasible, fast, safe and not impaired by the RCDC technique.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2009.12.jns091065","type":"journal-article","created":{"date-parts":[[2010,1,29]],"date-time":"2010-01-29T15:25:50Z","timestamp":1264778750000},"page":"954-960","source":"Crossref","is-referenced-by-count":88,"title":["Rapid closure technique in decompressive craniectomy"],"prefix":"10.3171","volume":"114","author":[{"given":"Erdem","family":"G\u00fcresir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartmut","family":"Vatter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Schuss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gi","family":"Oszvald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Raabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Seifert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Beck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns091065","series-title":"J Neurosurg","first-page":"469","article-title":"Outcome following decompressive craniectomy for malignant swelling due to severe head injury","volume":"104","author":"Aarabi","year":"2006"},{"key":"b2-jns091065","series-title":"Crit Care Med","first-page":"2535","article-title":"Decompressive craniectomy for severe traumatic brain injury: evaluation of the effects at one year","volume":"31","author":"Alban\u00e8se","year":"2003"},{"issue":"4 Suppl 2","key":"b3-jns091065","series-title":"Neurosurgery","first-page":"352","article-title":"Watertight dural closure: is it necessary? 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The French Study Group of Neurosurgical Infections, the SEHP, and the C-CLIN Paris-Nord","volume":"41","author":"Korinek","year":"1997"},{"key":"b15-jns091065","series-title":"Neurosurgery","first-page":"599","article-title":"Comparison of deep wound infection rates using a synthetic dural substitute (neuro-patch) or pericranium graft for dural closure: a clinical review of 1 year","volume":"54","author":"Malliti","year":"2004"},{"key":"b16-jns091065","series-title":"Stroke","first-page":"1888","article-title":"Early hemicraniectomy in patients with complete middle cerebral artery infarction","volume":"29","author":"Schwab","year":"1998"},{"key":"b17-jns091065","series-title":"Lancet Neurol","first-page":"215","article-title":"Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomised controlled trials","volume":"6","author":"Vahedi","year":"2007"},{"key":"b18-jns091065","series-title":"Stroke","first-page":"2506","article-title":"Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL Trial)","volume":"38","author":"Vahedi","year":"2007"},{"key":"b19-jns091065","series-title":"Acta Neurochir (Wien)","first-page":"1241","article-title":"Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive cases","volume":"150","author":"Yang","year":"2008"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/4\/article-p954.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/4\/article-p954.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/4\/article-p954.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T05:35:26Z","timestamp":1679895326000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/4\/article-p954.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":19,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2009.12.jns091065","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}