Gauze Packing and Removal: Two-staged Operations for Hemostasis of Traumatic Sinus Injury

Abstract

The importance of traumatic dural venous sinus injury lies in the probability of massive blood loss at the time of trauma or emergency operation resulting in a high mortality rate during the perioperative period. We present 2 case reports highlighting the successful outcome of patients with head trauma and cerebral venous sinus injury treated with gauze packing. Hemorrhage was successfully halted in 2 patients, and all survived their operations. Both of them were discharged from the hospital and had an improved Glasgow Coma Scale score at the time of the last follow-up. There were no postoperative intracranial or wound infections. Intracranial packing to tamponade severe intracranial hemorrhage can be a lifesaving neurosurgical maneuver.