Single versus double burr-hole drainage for chronic subdural hematoma: A study of relevant prognostic factors conducted in Pakistan

Khan, Habib Ullah; Atif, Khaula; Teimori-Boghsani, Gholamheidar

doi:10.12669/pjms.35.4.543

Cited by 9 publications

(4 citation statements)

References 20 publications

(55 reference statements)

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“…4 A prospective cohort study comparing single versus double burr hole surgeries also showed that there was no difference in outcome (p=0.54). 5 A meta-analysis including 12 studies, of which 3 were RCTs, showed that there were no significant difference in recurrence rate (odds ratio [OR], 1.28; 95% confidence interval [CI], 0.92-1.78; P =0.07), complication rate (OR, 0.74; 95% CI, 0.20-2.76; P = 0.11) and morbidity (OR, 1.38; 95% CI, 0.55-3.46; P = 0.58) between single burr hole and double burr hole in the treatment of cSDH. 6 Based on this literature, a single burr hole seems not to be inferior to double burr holes in terms of recurrence in managing cSDH.…”

Section: Preferred Surgical Methodsmentioning

confidence: 99%

Practice of treating Chronic Subdural Hematoma (cSDH) among Neurosurgeons in Nepal: A nationwide survey with literature review

et al. 2023

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Objectives: To survey Nepali neurosurgeons regarding the practice of managing chronic subdural hematomas (cSDH). Methods and Materials: A survey questionnaire was sent to all neurosurgeons practicing in Nepal from the database of the Nepalese Society of Neurosurgeons (NESON). Results: 60% (50/84) responded to the questionnaire. There was variation in practice among neurosurgeons regarding the use of drain and the administration of antiepileptics. However, many concurred regarding postoperative computed tomography scan, size of the burr hole, and positioning after surgery. Conclusion: For a common neurosurgical procedure like drainage of cSDH, scientific evidence keeps on changing. Based on the available evidence we need to change our practice for the best possible outcomes. For most of the variables studied, there is concordance with available scientific evidence among neurosurgeons regarding cSDH management in Nepal.

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Section: Preferred Surgical Methodsmentioning

confidence: 99%

Practice of treating Chronic Subdural Hematoma (cSDH) among Neurosurgeons in Nepal: A nationwide survey with literature review

et al. 2023

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“…Surgery is currently the common clinical treatment for CSDH, including single hole drainage, double borehole drainage and minimally invasive puncture drainage, but clinical practice shows that borehole drainage will cause severe trauma, which is difficult to meet the increasing needs of patients. 5,6 In recent years, the application of neuroendoscopy in the treatment of CSDH has been increasingly reported. Through neuroendoscopy, the entire hematoma cavity can be visualized to completely remove hematoma and trabecular-like structure and adequately stop bleeding, and a hematoma cavity drain tube can be placed under direct visualization.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy and prognosis of neuroendoscopy-assisted surgery for chronic subdural hematoma

Ma¹,

Song²,

Lin

2023

Pak J Med Sci

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Objective: This paper aims to analyze the clinical effect and prognosis of neuroendoscopy-assisted surgery for chronic subdural hematoma (CSDH). Methods: The clinical data of CSDH patients who underwent surgery between March 2018 and June 2020 in the Department of Neurosurgery of the First Affiliated Hospital of Xiamen University were retrospectively collected and analyzed. Eighty patients with CSDH who met the inclusive criteria were selected. A control group (32 cases treated with burr hole drainage) and an observation group (48 cases treated with neuroendoscopy-assisted surgery) were set according to different operation methods. The hematoma clearance rate, surgery-related indicators, related complications, hematoma recurrence rate and related prognostic indicators of the two groups were compared and analyzed. Results: The postoperative hematoma clearance rate of the observation group was 92.59%, which was higher than that of the control group (77.78%) (P<0.05). The operation time of the observation group was longer than that of the control group (P<0.05). The postoperative hospitalization time of the observation group was shorter than that of the control group (P<0.05). The postoperative complication rate of the observation group was lower than that of the control group (P<0.05). The recurrence rate of hematoma in the observation group in the six-month postoperative follow-up was 1.85%, which was lower than that in the control group (P<0.05). The limb motor function and daily living ability score of the observation group were higher than those of the control group, and the Markwalder grading score was lower than that of the control group (P<0.05). Conclusion: Neuroendoscopy-assisted treatment which is safe and effective is superior to traditional burr-hole drainage surgery. It can reduce the recurrence rate; thus, it is worth advocating and applying. doi: https://doi.org/10.12669/pjms.39.2.6642 How to cite this: Ma B, Song H, Lin W. Efficacy and prognosis of neuroendoscopy-assisted surgery for chronic subdural hematoma. Pak J Med Sci. 2023;39(2):578-582. doi: https://doi.org/10.12669/pjms.39.2.6642 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Chronic subdural hematoma (CSDH) is a common and frequently occurring disease, and the incidence rises with age (Sahyouni et al, 2017). Burr-hole drainage is a routine operation for the treatment of CSDH (Tang et al, 2018;Soleman et al, 2019;Khan et al, 2019), but the recurrence rate is ∼10-39% (Kim et al, 2014;Jang et al, 2015). Local inflammatory responses may contribute to the recurrence of CSDH (Jaiswal and Sontakke, 2012;Zhang et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Hemoglobin Concentration May Affect the Effect of Atorvastin on Chronic Subdural Hematoma After Burr-Hole Drainage at High Altitude

Wei

Lin

Zhong³

et al. 2020

Front. Neurosci.

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Objective: Chronic subdural hematoma (CSDH) is a common disease. Atorvastatin calcium can increase CSDH absorption. However, whether atorvastatin can increase hematoma absorption and reduce recurrence at high altitudes is not clear. Methods: After burr-hole drainage, CSDH patients were divided into an atorvastatin group and a control group. Follow-up computed tomography (CT) was performed on day 1, months 1, 2, and 3 after surgery. Then, the recurrence rate, poor therapeutic effect, time to recurrence, poor surgical result, recurrence with operation, CSDH volume, and Markwalder grading scale score (MGSS) were calculated, and related risk factors were analyzed.

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Single versus double burr-hole drainage for chronic subdural hematoma: A study of relevant prognostic factors conducted in Pakistan

Cited by 9 publications

References 20 publications

Practice of treating Chronic Subdural Hematoma (cSDH) among Neurosurgeons in Nepal: A nationwide survey with literature review

Practice of treating Chronic Subdural Hematoma (cSDH) among Neurosurgeons in Nepal: A nationwide survey with literature review

Efficacy and prognosis of neuroendoscopy-assisted surgery for chronic subdural hematoma

Hemoglobin Concentration May Affect the Effect of Atorvastin on Chronic Subdural Hematoma After Burr-Hole Drainage at High Altitude

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