Cerebrospinal fluid leak after combat penetrating gunshot wound to the head

Introduction: Cerebrospinal fluid leak is a common complication after head gunshot wounds, which commonly leads to infectious complications. This may prolong hospital staying and prevents soldiers from return operation theatre as soon possible. 
 The purpose of this article determine the impact quality primary surgical debridement other factors that influenced presence cerebrospinal in military stuff with wounds head. Materials methods: retrospective study 20 cases leak, were admitted during combat actions Eastern Ukraine period March 2014 end December 2017. Information was collected on demographics, evacuation assistance, type injury R commander version 4.2.0 (http://www.r-project.org) used for statistical analysis. Statistical significance defined p<0.05.
 Results: fistulas detected (25,31%). Factors affecting rate leaks are number re-operations (p<0.001), multiple sites (p=0.002), ventricular (p<0.005). CSF leakage significantly lengthens hospitalization time.
 Conclusions: fistula infection complication. Reoperation should follow initial surgery development. To avoid development fistulas, be performed by neurosurgeons specialized department.