Single versus double drainage in chronic subdural hematomas treated with burr-holes
Introduction: Chronic subdural hematoma is a frequent type of intracranial hemorrhage. Treatment for symptomatic cases is generally surgical. Burr-hole completion is the method of choice. Objective: To analyze the placement of a single versus double drain in patients with chronic subdural hematoma o...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
ECIMED
2023-04-01
|
| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | https://revmedmilitar.sld.cu/index.php/mil/article/view/2515 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841546445362036736 |
|---|---|
| author | Ernesto Enrique Horta-Tamayo Luis Cesar Acosta-Gonzalez Diana Rosa Ortega-Raez Lazaro Noel Parra-Vidal Martha Suarez-Cruz |
| author_facet | Ernesto Enrique Horta-Tamayo Luis Cesar Acosta-Gonzalez Diana Rosa Ortega-Raez Lazaro Noel Parra-Vidal Martha Suarez-Cruz |
| author_sort | Ernesto Enrique Horta-Tamayo |
| collection | DOAJ |
| description | Introduction: Chronic subdural hematoma is a frequent type of intracranial hemorrhage. Treatment for symptomatic cases is generally surgical. Burr-hole completion is the method of choice. Objective: To analyze the placement of a single versus double drain in patients with chronic subdural hematoma operated through burr-holes.
Methods: An analytical correlational retrospective study was carried out in patients who underwent surgery for chronic subdural hematoma, between January 2018 and December 2020. The patients were divided into 2 groups based on the number of drains used: double or single. The variables were: age, morbidities, preoperative Glasgow Score, hematoma characteristics (laterality, internal architecture, maximum diameter, and midline shift), complications, and hospital stay. The probability value < 0.05 was considered statistically significant.
Results: Of the 99 patients in the study, 39 were older than 75 years. The most frequent pattern was B with 25 cases (25,3 %). The diameter of the chronic subdural hematoma was more than 20 mm in 61 cases, and in 32 cases the displacement of the midline structures was greater than 10 mm. The average hospital stays 5,8 days. The most frequent complication was nosocomial pneumonia with eleven cases (11,11 %). The double drainage group showed fewer complications at 30 days.
Conclusions: The placement of double subdural drainage in patients with chronic subdural hematoma operated through single or double burr-holes, and is related to fewer complications than those with single drainage. |
| format | Article |
| id | doaj-art-8e00015138cb418fbe17d16c53b24770 |
| institution | Kabale University |
| issn | 1561-3046 |
| language | Spanish |
| publishDate | 2023-04-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj-art-8e00015138cb418fbe17d16c53b247702025-01-10T19:03:28ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-04-01522761Single versus double drainage in chronic subdural hematomas treated with burr-holesErnesto Enrique Horta-Tamayo0https://orcid.org/0000-0002-1292-1689Luis Cesar Acosta-Gonzalez1https://orcid.org/0000-0002-6463-4243Diana Rosa Ortega-Raez2https://orcid.org/0000-0002-6992-3570Lazaro Noel Parra-Vidal3https://orcid.org/0000-0002-7195-7817Martha Suarez-Cruz4https://orcid.org/0000-0002-4608-4903University of Medical Sciences of HolguÃn. Maradi Reference Hospital. Maradi. Niger.University of Medical Sciences of HolguÃn. LucÃa Iñiguez LandÃn Clinical-Surgical Hospital. Neurosurgery Service. Holguin. Cuba.University of Medical Sciences of HolguÃn. LucÃa Iñiguez LandÃn Clinical-Surgical Hospital. Neurosurgery Service. Holguin. Cuba.University of Medical Sciences of HolguÃn. LucÃa Iñiguez LandÃn Clinical-Surgical Hospital. Neurosurgery Service. Holguin. Cuba.University of Medical Sciences of HolguÃn. Universitary Policlinic "Máximo Gómez Báez". Holguin. Cuba.Introduction: Chronic subdural hematoma is a frequent type of intracranial hemorrhage. Treatment for symptomatic cases is generally surgical. Burr-hole completion is the method of choice. Objective: To analyze the placement of a single versus double drain in patients with chronic subdural hematoma operated through burr-holes. Methods: An analytical correlational retrospective study was carried out in patients who underwent surgery for chronic subdural hematoma, between January 2018 and December 2020. The patients were divided into 2 groups based on the number of drains used: double or single. The variables were: age, morbidities, preoperative Glasgow Score, hematoma characteristics (laterality, internal architecture, maximum diameter, and midline shift), complications, and hospital stay. The probability value < 0.05 was considered statistically significant. Results: Of the 99 patients in the study, 39 were older than 75 years. The most frequent pattern was B with 25 cases (25,3 %). The diameter of the chronic subdural hematoma was more than 20 mm in 61 cases, and in 32 cases the displacement of the midline structures was greater than 10 mm. The average hospital stays 5,8 days. The most frequent complication was nosocomial pneumonia with eleven cases (11,11 %). The double drainage group showed fewer complications at 30 days. Conclusions: The placement of double subdural drainage in patients with chronic subdural hematoma operated through single or double burr-holes, and is related to fewer complications than those with single drainage. https://revmedmilitar.sld.cu/index.php/mil/article/view/2515chronic subdural hematomasurgical treatmentdrainage. |
| spellingShingle | Ernesto Enrique Horta-Tamayo Luis Cesar Acosta-Gonzalez Diana Rosa Ortega-Raez Lazaro Noel Parra-Vidal Martha Suarez-Cruz Single versus double drainage in chronic subdural hematomas treated with burr-holes Revista Cubana de Medicina Militar chronic subdural hematoma surgical treatment drainage. |
| title | Single versus double drainage in chronic subdural hematomas treated with burr-holes |
| title_full | Single versus double drainage in chronic subdural hematomas treated with burr-holes |
| title_fullStr | Single versus double drainage in chronic subdural hematomas treated with burr-holes |
| title_full_unstemmed | Single versus double drainage in chronic subdural hematomas treated with burr-holes |
| title_short | Single versus double drainage in chronic subdural hematomas treated with burr-holes |
| title_sort | single versus double drainage in chronic subdural hematomas treated with burr holes |
| topic | chronic subdural hematoma surgical treatment drainage. |
| url | https://revmedmilitar.sld.cu/index.php/mil/article/view/2515 |
| work_keys_str_mv | AT ernestoenriquehortatamayo singleversusdoubledrainageinchronicsubduralhematomastreatedwithburrholes AT luiscesaracostagonzalez singleversusdoubledrainageinchronicsubduralhematomastreatedwithburrholes AT dianarosaortegaraez singleversusdoubledrainageinchronicsubduralhematomastreatedwithburrholes AT lazaronoelparravidal singleversusdoubledrainageinchronicsubduralhematomastreatedwithburrholes AT marthasuarezcruz singleversusdoubledrainageinchronicsubduralhematomastreatedwithburrholes |