| Popis: |
Introduction Pterional craniotomy is the most commonly used craniotomy for cerebral aneurysm. Surgical closed suction drains are widely used to reduce complications caused by postoperative fluid collection. However, scarce literature is available on the efficacy of surgical closed suction drains in pterional craniotomy.This study aims to investigate the influence of closed suction drains on postoperative epidural hematoma (EDH) that requires evacuation and surgical site infections (SSIs). Methods We performed a retrospective review of patients who underwent pterional craniotomies for cerebral aneurysm between January 2006 and December 2020 at our center. Patients were divided into subarachnoid hemorrhage (SAH) and non‐SAH groups. The differences in the incidence of EDH and SSI between patients with and without drain insertion were compared in each group. Univariate and multivariate logistic regression analyses were performed to determine the risk factors associated with EDH and SSI, including the use of drains. Results Among 5,280 patients, 4,767 non‐SAH and 513 SAH patients were included. The occurrences of EDH and SSIs were not associated with drain in both non‐SAH (p = 0.549, p = 0.693, respectively) and SAH patients (p = 0.153, p = 0.093, respectively). However, longer operation time was associated with occurrence of EDH in non‐SAH patients by univariate logistic regression analysis (odds ratio = 1.01, p < 0.001). Conclusions There was no significant difference in the incidence of EDH requiring evacuation and SSI in the group with and without drain. Therefore, it was considered unnecessary to use drain routinely after the pterional craniotomy. |
Plný text