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Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma

OBJECTIVE: One or two burr-hole craniostomies with subgaleal or subdural drainage system and irrigation are the most common methods for surgical treatment of CSDH. The aim of this study is to compare the advantages or disadvantages of these techniques used for CSDH. METHODS: Seventy patients were tr...

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Autores principales: Oral, Sukru, Borklu, Resul Emin, Kucuk, Ahmet, Ulutabanca, Halil, Selcuklu, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175088/
https://www.ncbi.nlm.nih.gov/pubmed/28058351
http://dx.doi.org/10.14744/nci.2015.06977
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author Oral, Sukru
Borklu, Resul Emin
Kucuk, Ahmet
Ulutabanca, Halil
Selcuklu, Ahmet
author_facet Oral, Sukru
Borklu, Resul Emin
Kucuk, Ahmet
Ulutabanca, Halil
Selcuklu, Ahmet
author_sort Oral, Sukru
collection PubMed
description OBJECTIVE: One or two burr-hole craniostomies with subgaleal or subdural drainage system and irrigation are the most common methods for surgical treatment of CSDH. The aim of this study is to compare the advantages or disadvantages of these techniques used for CSDH. METHODS: Seventy patients were treated by burr-hole subdural drainage or subgaleal drainage system with irrigation. Our patients were classified into two groups according to the operative procedure as follows: Group I, one or two burr-hole craniostomy with subgaleal closed system drainage and irrigation (n=36), Group II, one or two burr-hole craniostomies with subdural closed drainage system and irrigation (n=38). We compared male and female ratios, complication rates, and age distribution between groups. RESULTS: There was no remarkable difference between recurrence rates of the two groups. Recurrence rate was 6.25% in Group I and 7.8% in Group II. Subdural empyema occurred in one of the patients in Group II. Symptomatic pneumocephalus did not develop in patients. Four patients were reoperated for recurrence at an average of 12–20 days after the operation with the same methods. CONCLUSION: Both of the techniques have a higher cure rate and a lower risk of recurrence. However, subgaleal drainage system is relatively less invasive, safe, and technically easy. So it is applicable for aged and higher risk patients.
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spelling pubmed-51750882017-01-05 Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma Oral, Sukru Borklu, Resul Emin Kucuk, Ahmet Ulutabanca, Halil Selcuklu, Ahmet North Clin Istanb Original Article OBJECTIVE: One or two burr-hole craniostomies with subgaleal or subdural drainage system and irrigation are the most common methods for surgical treatment of CSDH. The aim of this study is to compare the advantages or disadvantages of these techniques used for CSDH. METHODS: Seventy patients were treated by burr-hole subdural drainage or subgaleal drainage system with irrigation. Our patients were classified into two groups according to the operative procedure as follows: Group I, one or two burr-hole craniostomy with subgaleal closed system drainage and irrigation (n=36), Group II, one or two burr-hole craniostomies with subdural closed drainage system and irrigation (n=38). We compared male and female ratios, complication rates, and age distribution between groups. RESULTS: There was no remarkable difference between recurrence rates of the two groups. Recurrence rate was 6.25% in Group I and 7.8% in Group II. Subdural empyema occurred in one of the patients in Group II. Symptomatic pneumocephalus did not develop in patients. Four patients were reoperated for recurrence at an average of 12–20 days after the operation with the same methods. CONCLUSION: Both of the techniques have a higher cure rate and a lower risk of recurrence. However, subgaleal drainage system is relatively less invasive, safe, and technically easy. So it is applicable for aged and higher risk patients. Kare Publishing 2015-09-26 /pmc/articles/PMC5175088/ /pubmed/28058351 http://dx.doi.org/10.14744/nci.2015.06977 Text en Copyright: © Istanbul Northern Anatolian Association of Public Hospitals http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Oral, Sukru
Borklu, Resul Emin
Kucuk, Ahmet
Ulutabanca, Halil
Selcuklu, Ahmet
Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title_full Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title_fullStr Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title_full_unstemmed Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title_short Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
title_sort comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175088/
https://www.ncbi.nlm.nih.gov/pubmed/28058351
http://dx.doi.org/10.14744/nci.2015.06977
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