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Volume 41 Issue 6
Jun.  2025
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2025  >  41(6): 509-515
Zhang Pihong, Zhang Yikun, Liang Pengfei. Application of iceberg theory in the diagnosis and treatment of refractory wounds at the surgical site after craniotomy[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2025, 41(6): 509-515. Doi: 10.3760/cma.j.cn501225-20250119-00028
Citation: Zhang Pihong, Zhang Yikun, Liang Pengfei. Application of iceberg theory in the diagnosis and treatment of refractory wounds at the surgical site after craniotomy[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2025, 41(6): 509-515. Doi: 10.3760/cma.j.cn501225-20250119-00028
shu

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

doi: 10.3760/cma.j.cn501225-20250119-00028

  • Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China

Funds:

General Program of National Natural Science Foundation of China 81772084

More Information
  • Corresponding author: Zhang Pihong, Email: zphong@aliyun.com
  • Received Date: 2025-01-19
    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.

     

    • (1) Based on domestic and international literature and clinical experience, this study provided an in-depth analysis of the causes of refractory wounds at the surgical site after craniotomy, and comprehensively explored the underlying mechanisms of their formation.
    (2) Based on the various reasons for the formation of refractory wounds after craniotomy, clinical experience was shared and repair strategies were summarized, focusing on precise debridement and effective repair measures.
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