Mini Craniotomy in the Management of Supratentorial Spontaneous Intracranial Hemorrhage: A Single-Center Outcome of the Minimally Invasive Treatment
| Autor: | Sashi Bhusan Sah, Suja Gurung, Binod Bhattarai, Aliza Bajracharya, Sunil Munakomi, Sweta Giri |
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| Rok vydání: | 2021 |
| Předmět: |
Intracerebral hemorrhage
medicine.medical_specialty business.industry medicine.medical_treatment medicine.disease Single Center Intensive care unit Surgery law.invention 03 medical and health sciences 0302 clinical medicine Hematoma law medicine 030212 general & internal medicine Prospective cohort study business Stroke Craniotomy Intracranial pressure |
| Zdroj: | Advances in Experimental Medicine and Biology ISBN: 9783030777418 |
| Popis: | Hemorrhagic stroke accounts for a significant proportion of mortality and confers a poor quality of life with high dependency among survivors. Surgical evacuation of hematoma has the advantage of rapidly controlling the increased intracranial pressure, halting the ongoing herniation syndrome, and mitigating the secondary cascades of events mediated by the inflammatory and blood degradation products. The advantage is hindered by the concurrent insult to the healthy brain tissue while passing through the normal brain tissue. Therefore, minimally invasive approaches to evacuate the hematoma are employed, but the need for an expensive surgical armamentarium and the expert multidisciplinary team is the bottleneck for their application, particularly in low-income nations. We herein performed a study upon the role of mini craniotomy open surgical method of evacuating hematoma in selected patients with supratentorial intracerebral hemorrhage. We found a significant reduction in the surgery length, minimized risk of post-surgery complications, shortened intensive care unit stay, and reduced mortality compared to the full-fledged craniotomy and endoscopy-guided surgery. There is a need for a large-scale randomized multicenter prospective study to verify the advantages of minimally invasive approaches in the management of symptomatic supratentorial intracerebral hemorrhages. |
| Databáze: | OpenAIRE |
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