Subdural Drain versus Subdural Evacuating Port System for the Treatment of Nonacute Subdural Hematomas: A Single-Center Retrospective Cohort Study

Ortiz, Michael V.; Belton, Patrick; Burton, Matthew R.; Litofsky, N. Scott

doi:10.1016/j.wneu.2020.03.226

Cited by 9 publications

(3 citation statements)

References 20 publications

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“…A total of 1,369 studies were obtained in the initial search, and 20 studies (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) were finally included based on the inclusion and exclusion criteria. These 20 studies included 17 English articles (13)(14)(15)(16)(17)(18)(19)(20)(24)(25)(26)(27)(28)(29)(30)(31)(32) and 3 Chinese articles (21)(22)(23), of which four of them were randomized controlled trials (15,17,20,21) while the remaining 16 were case-control trials. The workflow of literature retrieval and screening is shown in Figure 1.…”

Section: Search Resultsmentioning

confidence: 99%

Effect of Twist-Drill Craniostomy With Hollow Screws for Evacuation of Chronic Subdural Hematoma: A Meta-Analysis

et al. 2022

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ObjectiveThis study systematically reviews the clinical efficacy and safety of twist-drill craniostomy with hollow screws in chronic subdural hematoma treatment.MethodsA computerized search of PubMed, Embase, Web of Science, Cochrane Library, World Health Organization International Trial Registry platform, CBM, CNKI, and Wanfang Database was performed to retrieve randomized controlled trials or case-control trials using twist-drill craniostomy (TDC) with hollow screws for the evacuation of chronic subdural hematoma from the date of databases' inception to July 2021. Two investigators independently screened the studies and extracted data in strict accordance with pre-established inclusion and exclusion criteria. RevMan 5.3 software or STATA was used for meta-analysis after evaluating the methodological quality of the included studies.ResultsA total of 4 randomized controlled trials and 16 case-control trials with a total of 2,536 cases were included. Results of the meta-analysis showed that the surgical success rate and postoperative recurrence rate of TDC with hollow screws were slightly higher compared to the burr hole craniostomy (BHC) group, but showed no statistical significance (RR = 1.03, P = 0.05; RR = 1.13, P = 0.50). However, subgroup analysis showed that the use of YL-1 needle had a higher success rate and lower recurrence rate (RR = 1.05, P = 0.02 < 0.05; RR = 0.584, P = 0.002), and TDC with hollow screws had a lower incidence rate of postoperative complications and postoperative acute intracranial hemorrhage compared with BHC, also revealing an overall shorter hospital stay (RR = 0.57, P = 0.0002 < 0.05; RR = 0.584, P = 0.027 < 0.05; WMD = −3.752, P < 0.001). However, the postoperative mortality rate was practically the same between the two groups (OR = 1.01, P = 0.95 > 0.05).ConclusionTwist-drill craniostomy with hollow screws is not inferior or superior to BHC in efficacy, and this strategy is safer and minimally invasive, which is reflected in a lower incidence of acute intracranial hemorrhage, overall complication rate, and length of hospital stay.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42021270835.

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Section: Search Resultsmentioning

confidence: 99%

Effect of Twist-Drill Craniostomy With Hollow Screws for Evacuation of Chronic Subdural Hematoma: A Meta-Analysis

et al. 2022

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“…Several studies have directly compared treatment with SEPS with craniotomy, burr hole, and subdural drain placement with mixed findings. Ortiz et al 17 compared subdural drain placement with SEPS for subacute SDH and cSDH, reporting an increased need for second bedside procedure after SEPS placement when compared with a subdural drain. These authors also found SEPS associated with a longer intensive care unit and hospital stay.…”

Section: Discussionmentioning

confidence: 99%

“…These authors also found SEPS associated with a longer intensive care unit and hospital stay. 17 Flint et al 3 compared bedside SEPS versus burr hole for cSDH similarly, finding a higher 6-month reoperation rate with SEPS (15.6%) compared with burr hole (9.1%) drainage. However, as SEPS was more commonly performed over the years, the difference in reoperation rates disappeared, likely due to increased technical proficiency and improved patient selection.…”

Section: Discussionmentioning

confidence: 99%

Predictors and Outcomes of Subdural Hematomas Managed via Subdural Evacuation Port System

Mooney

Erickson

Saccomano

et al. 2023

World Neurosurgery: X

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Predictors of revision surgery after bedside subdural drain placement for chronic subdural hematomas

Mamaril-Davis

Avila

Burket

et al. 2023

Clinical Neurology and Neurosurgery

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Subdural Drain versus Subdural Evacuating Port System for the Treatment of Nonacute Subdural Hematomas: A Single-Center Retrospective Cohort Study

Cited by 9 publications

References 20 publications

Effect of Twist-Drill Craniostomy With Hollow Screws for Evacuation of Chronic Subdural Hematoma: A Meta-Analysis

Effect of Twist-Drill Craniostomy With Hollow Screws for Evacuation of Chronic Subdural Hematoma: A Meta-Analysis

Predictors and Outcomes of Subdural Hematomas Managed via Subdural Evacuation Port System

Predictors of revision surgery after bedside subdural drain placement for chronic subdural hematomas

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