Virtual Naval Hospital

Emergency War Surgery NATO Handbook

Figure 29

United States Department of Defense
Peer Review Status: Internally Peer Reviewed


Figure 29. - Technique for debridement of head wounds.



A. Conservative excision of devitalized skin and galea.



B. Burr holes should be placed in intact bone adjacent to the area of damage.



C. Bone is then removed by rongeur towards the area of contamination.



D. Only minimal trimming of the dural edges is required.



E. All blood clots, devitalized brain tissue, indriven bone fragments, and visible foreign bodies are removed.

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