Burr-Hole Evacuation of Chronic Subdural Hematoma: Biophysically and Evidence-Based Technique Improvement.
Chronic subdural hematoma
evidence-based medicine
head trauma
neurosurgery
pneumocephalus
Journal
Journal of neurosciences in rural practice
ISSN: 0976-3147
Titre abrégé: J Neurosci Rural Pract
Pays: United States
ID NLM: 101533710
Informations de publication
Date de publication:
Historique:
entrez:
16
2
2019
pubmed:
16
2
2019
medline:
16
2
2019
Statut:
ppublish
Résumé
Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. Despite ongoing efforts, recurrence and reoperation rates after surgical treatment remain high. We synthesize scientific evidence on the treatment of CSDH with biophysical principles and then propose a simple and effective surgical technique aiming to reduce the recurrence rate. Under local anesthesia, one burr hole is placed in the area above the maximum hematoma thickness. One drain is inserted into the dorsal direction to the deepest point of the hematoma cavity, and a second drain is inserted frontally into the highest point. Next, saline is gently instilled to the dorsal drain to eliminate air from the hematoma cavity through the frontal drain. Once saline has filled the frontal drain, the frontal drain is removed. The dorsal drain is left
Identifiants
pubmed: 30765981
doi: 10.4103/jnrp.jnrp_167_18
pii: JNRP-10-113
pmc: PMC6337972
doi:
Types de publication
Journal Article
Langues
eng
Pagination
113-118Déclaration de conflit d'intérêts
There are no conflicts of interest.
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