title: Operative treatment in head injury.
abstract: Improved outcome will result only from improvement in the total care of the head-injured patient. Each aspect of care is dependent on the other: rescue services; aggressive emergency evaluation and resuscitation; monitoring of the patient's physical, chemical, and neurological status; CT scanning; and intensive medical therapy and early rapid surgical decompression. The injured brain is particularly prone to further secondary insults. Intracranial mass lesions must be removed quickly and thoroughly; the brain should be handled in a careful and gentle fashion intraoperatively, and medical complications should be prevented. Dysfunctional cells in a marginal state can only be expected to return to normal with the proper management and environment.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D001929:Brain Edema / Q000188:drug therapy / Q000209:etiology; D006332:Cardiomegaly / Q000209:etiology; D002558:Cerebrospinal Fluid Otorrhea / Q000209:etiology; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery*; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D013353:Subdural Effusion / Q000209:etiology