Comparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study: Comparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study: Cho et al
Background: Chronic Subdural Hemorrhage(cSDH) is often treated with surgical blood drainage, but concerns about recurrence and outcomes persist. Surgical techniques, including irrigation, vary. This study compares the outcomes of irrigation in cSDH surgery. Materials and methods: From September 2020...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 50; no. 6; pp. 3059 - 3068 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181829353&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181829353 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Dec2024 vid: 50 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181829353 178175165 181829353 181829353 10.1007/s00068-024-02586-9 181829353 ppf: 3059 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study: Comparative clinical outcomes of irrigation techniques in burr-hole craniostomy for chronic subdural hemorrhage: a multicenter cohort study: Cho et al aug: au: Cho, Ho Seong Lee, Hyun-Seok Jeon, Yoo Sung Lee, Won Hee Cho, Kyung Rae affil: https://ror.org/00jcx1769 Department of Neurosurgery, Konkuk University Medical Center, Neungdong-Ro, Gwangjin-Gu, Seoul, Republic of Korea sug: subj: Hematoma, Subdural, Chronic Surgery Craniotomy Methods Therapeutic Irrigation Methods Treatment Outcomes Human Male Female Middle Age Aged Descriptive Statistics Prospective Studies Multicenter Studies Postoperative Complications Recurrence Hematoma T-Tests Kruskal-Wallis Test Cox Proportional Hazards Model Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Chronic Subdural Hemorrhage(cSDH) is often treated with surgical blood drainage, but concerns about recurrence and outcomes persist. Surgical techniques, including irrigation, vary. This study compares the outcomes of irrigation in cSDH surgery. Materials and methods: From September 2020 to September 2022, 92 cSDH patients underwent surgery. Two different irrigation methods were used: extensive irrigation (IG) and non-irrigation (NIG). Method of irrigation was selected by each surgeon's preference. Parameters measured included volume of hematoma changes, midline shifting, complications, and basic demographics. Recurrence was defined as symptomatic or hematoma expansion more than double the volume before surgery. Factors predicting recurrence and irrigation method impact were analyzed. Results: Eleven patients were excluded because of bilateral or related to other disease. We analyzed 81 patients (44 NIG, 37 IG). Recurrence occurred in 6 IG cases (16.2%) and 1 NIG case (2.3%). Irrigation method significantly affected recurrence (P = 0.043). Age, gender, medication, medical history, and preoperative measurements had no major impact on recurrence. NIG had unexpected cases of intracerebral hemorrhage. Conclusion: Extensive irrigation may increase recurrence in cSDH drainage. Non-irrigation drainage had fewer recurrences, but unexpected complications arose. Careful drainage in non-irrigated cases is crucial. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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