THE Recurrence Rate After Using Subdural Drain in Patients with Chronic Subdural Hematoma
DOI:
https://doi.org/10.36552/pjns.v27i4.934Keywords:
Recurrence Rate, Burr hole drainage, Chronic sub-dural hematoma.Abstract
Objective: One of the most often carried out procedures in the neurosurgical field is the drainage of chronic subdural hematomas (CSDHs). According to Scotti, subdural hematoma was identified radiologically as a subdural collection that was hypodense to parenchyma and manifested 21 days following trauma. This definition was based on the CT scan. In this study, we want to find the effectiveness of subdural drain in managing chronic subdural hematoma from the perspective of recurrence in our setup.
Materials and Methods: After the procedure, the patients were admitted to the ward for 48 hours and the drain was removed after 48 hours. Then the patients were discharged and follow-up was taken one month for diagnosis of recurrence. Recurrence was labeled positive if postoperative symptomatic recurrence of hematoma that needs re-operation of any type within one month of primary surgery.
Results: Among 85 patients mean age was 51 years with a standard deviation ± 7.55. 60(71%) patients were male and 25(29%) patients were female. Moreover s10 (12%) patients had recurrence while 75(88%) patients didn’t have recurrence.
Conclusion: According to our research, patients with Chronic Subdural Hematoma (CSDH) had a 12% recurrence incidence following the placement of a subdural drain.
References
REFERENCES
Bartek Jr J, Sjåvik K, Kristiansson H, Ståhl F, Fornebo I, Förander P, Jakola AS. Predictors of recurrence and complications after chronic subdural hematoma surgery: a population-based study. World neurosurgery. 2017 Oct 1;106:609-14.
Weng W, Li H, Zhao X, Yang C, Wang S, Hui J, et al. The depth of catheter in chronic subdural haematoma: does it matter? Brain Inj. 2019;33:717–22.
Tabaddor K, Shulmon K. Definitive treatment of chronic subdural hematoma by twist-drill craniostomy and closed-system drainage. J Neurosurg 1977;46:220-6
.Kwon TH, Park YK, Lim DJ, Cho TH, Chung YG, Chung HS, et al. Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume. J Neurosurg 2000;93: 796-9.
Lee, G.-Y., et al. (2013). "Comparison of drainage volume of chronic subdural hematoma according to drainage catheter type." Yonsei Medical Journal 54(5): 1091-1097.
Ohba, S., et al., The risk factors for recurrence of chronic subdural hematoma. Neurosurgical review, 2013. 36: p. 145-150.
Ernestus RI, Beldzinski P, Lanfermann H, Klug N (1997) Chronic subdural hematoma: surgical treatment and outcome in 104 patients. Surg Neurol 48:220–225
Kotwica Z, Brzezi?ski J (1991) Chronic subdural haematoma treated by burr holes and closed system drainage: personal experience in 131 patients. Br J Neurosurg 5:461–465
Cofano F, Pesce A, Vercelli G, Mammi M, Massara A, Minardi M, Palmieri M, D'Andrea G, Fronda C, Lanotte MM, Tartara F. Risk of recurrence of chronic subdural hematomas after surgery: a multicenter observational cohort study. Frontiers in Neurology. 2020 Nov 24;11:560269.
Almenawer SA, Farrokhyar F, Hong C, Alhazzani W, Manoranjan B, Yarascavitch B, Arjmand P, Baronia B, Reddy K, Murty N, Singh S. Chronic subdural hematoma management: a systematic review and meta-analysis of 34829 patients. Annals of surgery. 2014 Mar 1;259(3):449-57.
Mehta V, Harward SC, Sankey EW, Nayar G, Codd PJ. Evidence based diagnosis and management of chronic subdural hematoma: a review of the literature. Journal of clinical neuroscience. 2018 Apr 1;50:7-15.
Miah IP, Holl DC, Peul WC, Walchenbach R, Kruyt N, de Laat K, et al. Dexamethasone therapy versus surgery for chronic subdural haematoma (DECSA trial): study protocol for a randomised controlled trial. Trials.2018;19:1–10.
Yu GJ, Han CZ, Zhang M, Zhuang HT, Jiang YG. Prolonged drainage reduces the recurrence of chronic subdural hematoma. Br J Neurosurg.2009;23:606–11.
Ryu SM, Yeon JY, Kong DS, Hong SC. Risk of recurrent chronic subdural hematoma associated with early warfarin resumption: a matched cohort study. World Neurosurg. 2018;120:e855–e62
Weigel R, Schmiedek P, Krauss JK. Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry.2003;74:937–43
Almenawer SA, Farrokhyar F, Hong C, Alhazzani W, Manoranjan B, Yarascavitch B, et al. Chronic subdural hematoma management: a systematic review and meta-analysis of 34,829 patients. Ann Surg.2014;259:449–57.
Mehta V, Harward SC, Sankey EW, Nayar G, Codd PJ. Evidence based diagnosis and management of chronic subdural hematoma: a review of the literature. J Clin Neurosci.2018;50:7–15.
Rauhala M, Helén P, Seppä K, Huhtala H, Iverson GL, Niskakangas T, et al. Long-term excess mortality after chronic subdural hematoma. Acta Neurochir.2020;162:1467–78.
Greuter L, Hejrati N, Soleman J. Type of drain in chronic subdural hematoma—a systematic review and meta-analysis.Front. Neurol. 2020;11:312.
Stanišic M, Pripp AH. In reply: A reliable grading system for prediction of chronic subdural hematoma recurrence requiring reoperation after initial burr-hole surgery. Neurosurgery. 2017;81:E78–9
Tailor J, Fernando D, Sidhu Z, Foley R, Abeysinghe KD, Walsh DC, et al. Clinical audit effectively bridges the evidence-practice gap in chronic subdural haematoma management. Acta Neurochir (Wien) 2017;159:627–31
Yadav YR, Parihar V, Chourasia ID, Bajaj J, Namdev H. The role of subgaleal suction drain placement in chronic subdural hematoma evacuation. Asian J Neurosurg. 2016;11:214–8.
Chih AN, Hieng AW, Rahman NA, Abdullah JM. Subperiosteal drainage versus subdural drainage in the management of chronic subdural hematoma (A comparative study) Malays J Med Sci. 2017;24:21–30.
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Copyright (c) 2023 Hameed Ullah, Amer Zaman, Waseef Ullah, Junaid Alam, Atta Ullah, Bilal AhmadThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
