Resumo

GIL CRUZ, Juan et al. Considerations and surgical procedures in the craniocerebral lesions caused by spearguns. Rev Cub Med Mil [online]. 1998, vol.27, n.2, pp. 133-140. ISSN 1561-3046.

3 cases of patients with penetrating wounds caused by spearsuns with intracranial retention located in the anterior half of the cranium with introduction beyond the medias line of the cranium were presented. These patients received attention at different medical institutions in Cuba and were transferred to them with the object in situ. As there was no suspcion of vascular damage, the routine radiographic studies were sufficient for the diagnosis and procedure. The surgical procedure performed is described. The technical combination of cranietomy-craniectomy with the purpose of exposing the object in all its extent was used in 2 of them, and the craniectomy-cranioctomy in the third. It was shown that the surgical procedure to be used to remove the object may be performed in the direction of the penetration or backwards. The surgeon will determine which one produces less vascular or cerebral, parenchyma damage.

Palavras-chave : WOUNDS, PENETRATIGN [surgery]; FISHERIES [instrumentation]; FORFING BODIES; CRANIOTOMY [methods].

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