BURR-HOLE DRAINAGE WITH DRAIN VERSUS BURR-HOLE DRAINAGE WITH DRAIN AND IRRIGATION IN TREATING CHRONIC SUBDURAL HEMATOMA: A CASE-CONTROL STUDY

Volume 10 , Issue 2 , September 2020 , Pages 181-186

Authors

Ari Anwer Salih 1 ; Ari Sami Hussain Nadhim 2

1 Neurosurgery Trainee, Shar Teaching Hospital, Sulaymaniyah, KRG, Iraq.

2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/Jsmc.10255

Keywords

Abstract

Background 

Chronic subdural hematoma is a common neurosurgical condition. Its prevalence is increasing worldwide due to the increasingly aged population. Craniotomy, twist-drill craniostomy, and burr-hole drainage and drain with or without irrigation are among the very first lines of its management.

Objectives 

We used burr-hole drainage with drain versus burr-hole drainage with drain and irrigation to find out which method is better regarding the outcome of chronic subdural hematoma treatment.

Patients and Methods

a case-control study design was used to inspect retrospectively both techniques in 47 patients. Twenty-one patients were treated with burr-hole drainage with drain only, and 26 were treated with burr-hole drainage with drain and irrigation.

Results

We found no statistically different association between the two types of operations and their outcomes (P value= 0.083 and Pearson’s R Correlation= 0.029).

Conclusion

As long as there is no differences between the two techniques, irrigation is not necessary after burr-hole drainage of chronic subdural hematoma. It requires more time, more exposure of the patient to anesthetic agents, and increases the risk of both infection and pneumocephalus.

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  • Published at21 September 2020

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