[Application of iceberg theory in the diagnosis and treatment of refractory wounds at the surgical site after craniotomy].

Abstract

After craniotomy, the surgical site is prone to develop refractory wounds, which seriously affects the patient's quality of life and significantly increases the medical cost. Clinical studies indicate that the pathogenic factors of such wounds are extremely diverse, their formation mechanism is complex, and their clinical treatment is extremely difficult. In this paper, iceberg analysis is applied to the diagnosis and treatment of refractory wounds after craniotomy. Based on domestic and international literature and clinical practice, combined with preoperative image examination results and intraoperative exploration findings, we provided an in-depth discussion on the causes of wound formation, comprehensively analyzed the pathogenic factors affecting wound healing, and shared the clinical diagnosis and treatment experience in this aspect. Based on the iceberg theory, we propose precise debridement measures and targeted effective repair strategies for this type of refractory wounds.