ArticleAsian journal of neurosurgery2026
Prospective Randomized Controlled Study Comparing Decompressive Craniectomy with Watertight Duraplasty and without Watertight Duraplasty in Traumatic Brain Injury.
Article in Asian journal of neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Decompressive craniectomy (DC) is a life-saving procedure for refractory intracranial hypertension following traumatic brain injury (TBI). Despite its widespread use, there is no consensus regarding optimal dural management. Whether watertight duraplasty is necessary during DC remains controversial. Objective: The aim of the study is to compare clinical outcomes, postoperative complications, and cranioplasty-related outcomes following DC performed with and without watertight duraplasty in patients with TBI. Materials and Methods: This prospective randomized controlled study included 200 patients (15-65 years) undergoing unilateral DC for TBI between January 2020 and December 2022. Patients were randomized to DC with watertight duraplasty ( Results: Baseline demographic and clinical characteristics were comparable between groups. The non-watertight duraplasty group demonstrated significantly shorter operative time and lower intraoperative blood loss ( Conclusion: DC performed with or without watertight duraplasty yields similar postoperative complications, mortality, functional outcomes, and cranioplasty-related results in patients with TBI.
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