Journal of Cardiovascular Disease Research
Surgery for chronic subdural hematomas: A comparison of the single-burrhole, closed-system drain and the twin-burrhole, open-drain approaches
Dr. A Venkateshwar Rao
JCDR. 2023: 763-767
Abstract
Neurosurgeons often deal with cases of chronic subdural hematoma. Persistent subdural hematomas are more prevalent in the elderly because brain atrophy causes the brain to shrink, creating more space between the brain and the skull. Material and Methods: The participants in this research were all seen at the Department of Neurosurgery, Gandhi Medical College, Secunderabad, Hyderabad, Telangana, India, between December 2021 to November 2022, were the primary regions of patient dispersion. All hospitalized patients who were given the diagnosis of persistent subdural hematoma were included in the research. Results: Eighty-two men and eight women participated in the trial for a total of 90 patients. Forty patients had operations using the single burrhole method, while fifty patients had procedures using the double burrhole method. Patients in Group 1 had, on average, 58.48 years, whereas those in Group 2 had, on average, 58.25. Conclusion: The single burrhole technique reduced pneumocephalus despite statistical insignificance. Single burrhole closed system drainage for chronic subdural hematoma does not enhance the risk of recurrence or pneumocephalus
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