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2015 ; 11
(2
): 75-80
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Comparison of the Outcomes and Recurrence with Three Surgical Techniques for
Chronic Subdural Hematoma: Single, Double Burr Hole, and Double Burr Hole
Drainage with Irrigation
#MMPMID27169069
Jang KM
; Kwon JT
; Hwang SN
; Park YS
; Nam TK
Korean J Neurotrauma
2015[Oct]; 11
(2
): 75-80
PMID27169069
show ga
OBJECTIVE: Chronic subdural hematoma (CSDH), a disease commonly encountered by
neurosurgeons, is treated by burr hole drainage (BHD). However, the optimal
surgical technique among the three types of BHD has not been determined. METHODS:
We conducted a retrospective study on BHD performed on 93 patients who were
diagnosed with CSDH. The subjects were divided into three groups based on the
surgical technique performed: single BHD without irrigation (Group A, n=31),
double BHD without irrigation (Group B, n=32), and double BHD with irrigation
(Group C, n=30). The clinical factors, radiological factors and recurrences were
compared between the three groups. Moreover, independent factors affecting the
recurrence were analyzed. RESULTS: The change in hematoma thickness was
29.77±7.94%, 49.73±12.87%, and 75.29±4.32% for Group A, B, and C, respectively,
while the change in midline shift was 40.81±15.47%, 51.78±10.94%, and
56.16±16.16%, respectively. Thus, Group C showed the most effective for
resolution of hematoma and midline shift (p<0.05). Group A, B, and C had 12 cases
(38.7%), 8 cases (25.0%), and 3 cases (10.0%) of recurrences, respectively. Group
C had a statistically significantly fewer recurrence rate than Group A (p<0.05).
Double burr hole, irrigation, and coagulopathy were each identified as
independent factors that reduce recurrence (p<0.05). CONCLUSION: Among the three
techniques, the double BHD with saline irrigation resulted in the fewest
recurrences. It is probably the most effective technique for preventing the
recurrence of CSDH.