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BURR-HOLE DRAINAGE WITH DRAIN VERSUS BURR-HOLE DRAINAGE WITH DRAIN AND IRRIGATION IN TREATING CHRONIC SUBDURAL HEMATOMA: A CASE-CONTROL STUDY
BURR-HOLE DRAINAGE WITH DRAIN VERSUS BURR-HOLE DRAINAGE WITH DRAIN AND IRRIGATION IN TREATING CHRONIC SUBDURAL HEMATOMA: A CASE-CONTROL STUDY
Ari Anwer Salih a and Ari Sami Hussain Nadhim b
Ari Anwer Salih a and Ari Sami Hussain Nadhim b
a Neurosurgery Trainee, Shar Teaching Hospital, Sulaymaniyah, KRG, Iraq.
b Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
Submitted: 1/1/2019; Accepted: 1/2/2020; Published: 21/9/2020
Submitted: 1/1/2019; Accepted: 1/2/2020; Published: 21/9/2020
DOI Link: https://doi.org/10.17656/jsmc.10255
ABSTRACT
Background
Chronic subdural hematoma is a common neurosurgical condition. Its prevalence is increasing worldwide due to the increasingly aged population. Craniotomy, twist-drill craniostomy, and burr-hole drainage and drain with or without irrigation are among the very first lines of its management.
Objectives
We used burr-hole drainage with drain versus burr-hole drainage with drain and irrigation to find out which method is better regarding the outcome of chronic subdural hematoma treatment.
Patients and Methods
a case-control study design was used to inspect retrospectively both techniques in 47 patients. Twenty-one patients were treated with burr-hole drainage with drain only, and 26 were treated with burr-hole drainage with drain and irrigation.
Results
We found no statistically different association between the two types of operations and their outcomes (P value= 0.083 and Pearson’s R Correlation= 0.029).
Conclusion
As long as there is no differences between the two techniques, irrigation is not necessary after burr-hole drainage of chronic subdural hematoma. It requires more time, more exposure of the patient to anesthetic agents, and increases the risk of both infection and pneumocephalus.
KEYWORDS
Chronic subdural hematoma (CSDH); Burr-hole drainage; Irrigation; Outcome.
References
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© The Authors, published by University of Sulaimani, College of Medicine
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