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Kravtsov M.N.

Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defense of the Russian Federation

Chistyakov A.E.

Kirov Military Medical Academy

Legzdain M.A.

Kirov Military Medical Academy

Svistov D.V.

Kirov Military Medical Academy

Endoscopic interventions for gunshot craniocerebral injuries

Authors:

Kravtsov M.N., Chistyakov A.E., Legzdain M.A., Svistov D.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(3): 48‑59

DOI: 10.17116/neiro20258903148

Read: 727 times

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Table of contents

ENDOSCOPIC INTERVENTIONS FOR GUNSHOT CRANIOCEREBRAL INJURIES
ENDOSCOPIC INTERVENTIONS FOR GUNSHOT CRANIOCEREBRAL INJURIES

To cite this article:

Kravtsov MN, Chistyakov AE, Legzdain MA, Svistov DV. Endoscopic interventions for gunshot craniocerebral injuries. Burdenko's Journal of Neurosurgery. 2025;89(3):48‑59. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20258903148

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Full-endoscopic (neuroendoscopic) removal of foreign bodies from the cranial cavity is a relatively new technique with limited information available in the literature. Compared to open surgeries, this minimally invasive approach is associated with less impact on the surrounding brain tissues and fewer complications. The safety of such procedures is enhanced by the use of CT navigation. This article describes the surgical technique of endoscopic removal of metallic fragments in combat-related gunshot cranial injuries, based on five clinical cases, and presents the results of a systematic literature review.

OBJECTIVE

To evaluate the capabilities and effectiveness of fully endoscopic surgery in combat-related gunshot cranial injuries and to compare the obtained results with the data available in the global literature.

MATERIAL AND METHODS

In the neurosurgery clinic of the Military Medical Academy named after S.M. Kirov, from March 2023 to June 2024, 5 patients with shrapnel wounds to the head underwent removal of foreign bodies using endoscopic techniques. The databases of scientific publications PubMed, Google Scholar, and eLibrary searched for publications in accordance with the rules of systematic review, and 12 articles were found that fully meet the search criteria.

RESULTS

All 5 patients were successfully operated using endoscopic techniques. Endoscopic rehabilitation of a gunshot wound is an optional minimally invasive neurosurgical procedure and can be effectively applied in a specialized hospital to remove foreign bodies localized deep in the brain, ventricles, and base of the skull, with a high risk of their removal during primary surgical treatment or its non-radical implementation.

Keywords:

neuroendoscopy
percutaneous endoscopic surgery
endoscopic removal of foreign bodies
combat injury
gunshot cranial injury
metallic fragments
projectile

Authors:

Kravtsov M.N.

Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defense of the Russian Federation

Chistyakov A.E.

Kirov Military Medical Academy

Legzdain M.A.

Kirov Military Medical Academy

Svistov D.V.

Kirov Military Medical Academy

Received:

28.07.2024

Accepted:

28.03.2025

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References:

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