Article
Impact of incision type on wound healing in decompressive hemicraniectomy
Einfluss des Inzisionstyps auf die Wundheilung bei dekompressiver Hemikraniektomie
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Published: | June 4, 2021 |
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Objective: The goal of this study was to determine the differences in wound healing aspects between the classic reversed question mark incision and the retroauricular frontoparietooccipital incision in decompressive hemicraniectomy. The preliminary results of our observations were analyzed.
Methods: A total of 60 patients were recruited between 2018 and 2020 (Group A: 30 patients with reverse question mark incision & Group B: 30 patients with retroauricular frontoparietooccipital incision). The medical documentation of the included patients was analyzed for the occurrence of wound healing disturbances (dehiscence, infection). A two-sample t-test between proportions was performed to determine whether there was a significant difference between the two groups.
Results: 12 patients from Group A (40%) and 8 patients from Group B (27%) developed wound healing disturbances. There were no statistical significant differences referring wound healing disturbance in both groups and the demographic parameters did not statistically differ from each other.
Conclusion: In our preliminary results there was no statistical significance referring the rate of wound healing disturbances between the analyzed groups. Nevertheless we observed a noticeable trend to better wound healing rates with the retroauricular frontoparietooccipital incision compared to the classic question mark incision. A larger patient sample size is needed for a representative statistical analysis of wound healing aspects in decompressive hemicraniectomy.