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Abdelfatah MAR. Recurrence Rate of Chronic Subdural Hematoma after Evacuating It by Two Large Burr Holes, Irrigation, and Subgaleal Low-Pressure Suction Drainage. Asian J Neurosurg. 2019;14(3):725-729doi: 10.4103/ajns.AJNS_321_17.
Abdelfatah, M. A. R. (2019). Recurrence Rate of Chronic Subdural Hematoma after Evacuating It by Two Large Burr Holes, Irrigation, and Subgaleal Low-Pressure Suction Drainage. Asian journal of neurosurgery, 14(3), 725-729. https://doi.org/10.4103/ajns.AJNS_321_17
Abdelfatah, Mohamed Abdel Rahman. "Recurrence Rate of Chronic Subdural Hematoma after Evacuating It by Two Large Burr Holes, Irrigation, and Subgaleal Low-Pressure Suction Drainage." Asian journal of neurosurgery vol. 14,3 (2019): 725-729. doi: https://doi.org/10.4103/ajns.AJNS_321_17
Abdelfatah MAR. Recurrence Rate of Chronic Subdural Hematoma after Evacuating It by Two Large Burr Holes, Irrigation, and Subgaleal Low-Pressure Suction Drainage. Asian J Neurosurg. 2019 Jul-Sep;14(3):725-729. doi: 10.4103/ajns.AJNS_321_17. PMID: 31497092; PMCID: PMC6702995.
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Asian J Neurosurg. 2019 Jul-Sep;14(3):725-729. doi: 10.4103/ajns.AJNS_321_17.

Recurrence Rate of Chronic Subdural Hematoma after Evacuating It by Two Large Burr Holes, Irrigation, and Subgaleal Low-Pressure Suction Drainage.

Asian journal of neurosurgery

Mohamed Abdel Rahman Abdelfatah

Affiliations

  1. Department of Neurosurgery, Ain Shams University, Cairo, Egypt.

PMID: 31497092 PMCID: PMC6702995 DOI: 10.4103/ajns.AJNS_321_17

Abstract

BACKGROUND: There are no current standard operative steps for chronic subdural hematoma (CSDH). The aim of this study was to detect the recurrence rate after drainage of a unilateral diffuse CSDH by combining certain operative steps.

MATERIALS AND METHODS: This is a descriptive, retrospective cohort study that included 47 consecutive adult patients who underwent evacuation of a unilateral diffuse CSDH by two large burr holes (≥2 cm in diameter) and irrigation of the subdural space by warm saline, followed by placement of a subgaleal Redivac drain under low-pressure suction in our university hospital from August 2012 to August 2016. There were 29 men and 18 women with a mean age of 69.1 years.

RESULTS: All the operations were uneventful. All the patients had adequate drainage of their subdural hematomas, and all patients were discharged alert and oriented. No incidence of recurrence within 12 months after surgery.

CONCLUSION: This study demonstrated that surgical management of a unilateral diffuse CSDH in adult patients by two large burr holes, irrigation, and a subgaleal Redivac low-pressure suction drainage was effective and associated with no recurrence.

Keywords: Burr holes; Redivac drain; chronic subdural hematoma; recurrence rate; subgaleal

Conflict of interest statement

There are no conflicts of interest.

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