Subdural open drains as an effective and low-cost modality for the treatment of chronic subdural hematomas
| Autor: | Azalea Garza-Báez, Angel Martínez-Ponce de León, Everardo Garcia-Estrada, Mariana Mercado-Flores, Jesús Alberto Morales-Gómez |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Modality (human–computer interaction) Standardised technique business.industry General Medicine Surgery 03 medical and health sciences 0302 clinical medicine Chronic subdural hematoma 030220 oncology & carcinogenesis Medicine Penrose drain In patient Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | British journal of neurosurgery. |
| ISSN: | 1360-046X |
| Popis: | We present a series that describes the presenting features and clinical outcomes in patients with CSDH treated with a standardised technique and an open-drain placement.We reviewed the medical records of 155 consecutive patients at a single centre who underwent CSDH evacuation by placing burr holes, accompanied by intraoperative irrigation and a subdural Penrose drain between 2014 and 2018.The mean age was 65.9 years, 81.9% were males. The most common clinical characteristics were an altered mental state (21.9%) and headache (12.9%). It was necessary to perform a second surgical intervention due to the evidence in the postoperative tomography of a residual hematoma in 10.3% of the cases; there were 2 cases of recurrence in 6 months (1.3%). Pneumonia (6.5%) and seizures (5.8%) were the most frequent medical complications. Intracranial infections accounted for 1.9%, and the mortality rate was 6.4% of cases.We provided our experience with a low-cost and less-commonly used technique in the management of CSDH. This technique showed similar recurrence, mortality and intracranial infection rates to those reported in the literature for closed drainage systems. Additional studies will be required to assess this technique. |
| Databáze: | OpenAIRE |
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