Brain retraction injury

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This review is devoted to various techniques for reduction of brain damage during retraction. Searching for reports was carried out in Russian and English languages using the PubMed database (n=721) without restrictions on language, date and study design according to the following keywords: «brain retraction injury», «spatula brain retractors», «tubular brain retractors», «retractorless neurosurgery». Primary screening and exclusion of duplicate manuscripts allowed us to single out the main group of articles (n=121). Some reports were excluded due to non-compliance with inclusion criteria (no description of methods, few references and insufficient data). The final list included 32 studies which were represented by cohort studies, retrospective analyses of surgical interventions, as well as experimental and laboratory studies. Small number of publications did not allow us to obtain unambiguous conclusions. Further research is required to reduce brain retraction trauma.

Keywords:

neurosurgery

brain retraction

spatula retractors

tubular retractors

retractorless neurosurgery

Authors:

Polunina N.A.

Sklifosovsky Research Institute for Emergency Care

Semenov D.E.

Sechenov First Moscow State Medical University

Orlov E.A.

Sechenov First Moscow State Medical University

Veselkov A.A.

Sechenov First Moscow State Medical University

Galitsky E.V.

I.M. Sechenov First Moscow State Medical University

Grigorievskiy E.D.

Sklifosovsky Research Institute for Emergency Care

Kudashev A.Yu.

Sechenov First Moscow State Medical University

Received:

10.06.2020

Accepted:

19.03.2021

List of references:

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