Cargando…

Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma

BACKGROUND & AIMS: Background: Mini-craniotomy is generally considered a better technique than burr hole drainage for chronic subdural haematoma (CSDH) as there are less chances of recurrence and need for re-surgery . But generally mini craniotomy is performed under general anaesthesia and this...

Descripción completa

Detalles Bibliográficos
Autor principal: Masih, Shah Mehndi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116769/
http://dx.doi.org/10.4103/0019-5049.340699
_version_ 1784710180425957376
author Masih, Shah Mehndi
author_facet Masih, Shah Mehndi
author_sort Masih, Shah Mehndi
collection PubMed
description BACKGROUND & AIMS: Background: Mini-craniotomy is generally considered a better technique than burr hole drainage for chronic subdural haematoma (CSDH) as there are less chances of recurrence and need for re-surgery . But generally mini craniotomy is performed under general anaesthesia and this is found to be associated with post-operative complication in earlier studies. The same procedure when carried under local anaesthesia is expected to cause less post-operative complications METHODS: In this retrospective study patients of age 50 years or higher those who underwentmini-craniotomy under general or local anaesthesia were included. Preoperative condition, surgery duration and post-operative complications were obtained from patients’ medical records and compared RESULTS: Sixty patients were included in the study. Thirty-two of these patients underwent mini-craniotomy under LA and thirty-eight under GA. Improvement was better in patients who underwent the surgery under local anaesthesia than the general anaesthesia group. Postoperative complications like pneumonia and DVT (Deep Venous Thrombosis) were less frequent in local anaesthesia group. CONCLUSION: Mini-craniotomy performed under local anaesthesia is found to have same efficacy than the same procedure performed under general anaesthesia. It is also found to have less chances of recurrence, reoperation and postoperative complication. So, mini-craniotomy under local anaesthesia can be better alternative for CSDH.
format Online
Article
Text
id pubmed-9116769
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-91167692022-05-19 Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma Masih, Shah Mehndi Indian J Anaesth Kops Award Abstracts: Neuroanaesthesia BACKGROUND & AIMS: Background: Mini-craniotomy is generally considered a better technique than burr hole drainage for chronic subdural haematoma (CSDH) as there are less chances of recurrence and need for re-surgery . But generally mini craniotomy is performed under general anaesthesia and this is found to be associated with post-operative complication in earlier studies. The same procedure when carried under local anaesthesia is expected to cause less post-operative complications METHODS: In this retrospective study patients of age 50 years or higher those who underwentmini-craniotomy under general or local anaesthesia were included. Preoperative condition, surgery duration and post-operative complications were obtained from patients’ medical records and compared RESULTS: Sixty patients were included in the study. Thirty-two of these patients underwent mini-craniotomy under LA and thirty-eight under GA. Improvement was better in patients who underwent the surgery under local anaesthesia than the general anaesthesia group. Postoperative complications like pneumonia and DVT (Deep Venous Thrombosis) were less frequent in local anaesthesia group. CONCLUSION: Mini-craniotomy performed under local anaesthesia is found to have same efficacy than the same procedure performed under general anaesthesia. It is also found to have less chances of recurrence, reoperation and postoperative complication. So, mini-craniotomy under local anaesthesia can be better alternative for CSDH. Wolters Kluwer - Medknow 2022-03 /pmc/articles/PMC9116769/ http://dx.doi.org/10.4103/0019-5049.340699 Text en Copyright: © 2022 Indian Journal of Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Kops Award Abstracts: Neuroanaesthesia
Masih, Shah Mehndi
Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title_full Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title_fullStr Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title_full_unstemmed Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title_short Abstract No.: ABS0857: Efficacy and Safety of Mini-craniotomy under Local Anaesthesia as a Less Invasive Procedure for Chronic Subdural Hematoma
title_sort abstract no.: abs0857: efficacy and safety of mini-craniotomy under local anaesthesia as a less invasive procedure for chronic subdural hematoma
topic Kops Award Abstracts: Neuroanaesthesia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116769/
http://dx.doi.org/10.4103/0019-5049.340699
work_keys_str_mv AT masihshahmehndi abstractnoabs0857efficacyandsafetyofminicraniotomyunderlocalanaesthesiaasalessinvasiveprocedureforchronicsubduralhematoma