Procedure of Craniectomy

The term Craniectomy refers to the surgical treatment of brain. It is a neurological and surgical procedure which involves removal of a portion of a brain to relieve the pressure from the brain. This procedure is applied where the patients has received severe brain injury causing excessive brain swelling due to significant amount of bleeding and formation of blood clot.

The head injury is the most critical phenomenon and especially in India over 1.40 lac people counts only to road accident fatalities and mostly due to head injury. The majority of cases involve two wheeler riders who drive without wearing a quality helmet. It is essential to understand the fact that why head injury is life threatening. Our brain is a jelly like substance that comprises of cerebral fluid which is covered by the rigid enclosure of skull bones. Skull bones are quite robust that could absorb certain level of collision. In case of a severe injury the effect of collision goes beyond that level and causes injury to the brain. When the brain swells due to injury or clot formation it didn’t get any space to expand hence the entire pressure is diverted on to the brain itself.

Head injury is very critical and it should be operated/treated immediately in order to save patients life. Patients who need to undergo a Craniectomy are monitored very critically.

To perform the surgical process of Craniectomy our experienced team of neurosurgeons and anesthetists always remain prepared to take care of such emergencies. The patient is immediately moved to the operation theater where the neurosurgeons identify the affected area and make an incision in the scalp. After cutting the skin and underlying tissues a drill is used to carve holes in the skull. After that the holes are connected with a saw, the particular skull area is removed. The portion of the bone removed is kept under freezer so that it could be replaced once the brain swelling had subsidized.

The patients are provided a custom made helmet which they could wear in order to prevent any further injury to the brain which is exposed. After removing the bone the skin and connective tissues are closed with sutures.