Implementación de procuramiento de plaqueta ósea para cranoplastia en pacientes neuroquirúrgicos en hospital San Pablo de Coquimbo

Abstract

The cranioplasty for patients with decompressive craniotomy is a standard procedure in neurosurgery. The materials that are used in the repairment operation is a controversial theme, currently the alternatives for this procedure are through autologous bone or alloplastic grafts. Within the alloplastic alternatives different metals can be found, for exam-ple titanium, ceramic, and polymers. These are the most commonly used and with the best results. Considering that the autologous bone, which requires a storage system through cryopreservation and through gamma ray sterilization, is an effective alternative with secure scientific evidence of its use. The work describes how the procurement procedure is implemented and implantation of platelet type in a medium complexity hospital (San Pablo hospital in Coquimbo), discussing each and every of the defined processes. Considering that from the stage of obtaining the bone to the re-installation, with security and meeting security standards. Within the analysis, costs associated with the procurement and implant process are determined, comparing them to the other metallic and polymer alternatives determining the procurement of autologous bone through cryopreservation as the higher cost effectiveness.