Recurrence of chronic subdural haematomata with and without post-operative drainage

Jakob G Carlsen; Søren Cortnum; Jens C Sørensen

doi:10.3109/02688697.2011.558945

Recurrence of chronic subdural haematomata with and without post-operative drainage

Jakob G Carlsen, Søren Cortnum, Jens C Sørensen

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

17 Citationer (Scopus)

Abstract

Chronic subdural haematoma is a common disease causing morbidity and mortality. Recurrence after surgical treatment is common, varying from 5% to 30% of cases. Several methods for reducing recurrence have been advocated. The aim of this study was to investigate the effect of post-operative subdural drainage. Three hundred forty-four patients were included in a retrospective study. Treatment was performed by burr hole irrigation. Groups were separated into those with post-operative drainage compared to those without. Recurrence occurred in 14% in the drained group, significantly less than 26% in the undrained group (p=0.011). There were no differences in the complication rates. Post-operative drainage reduces recurrence of chronic subdural haematoma without increasing the complication rate. These results support those reported in several other studies. We recommend the use of post-operative subdural drainage.

Originalsprog	Engelsk
Tidsskrift	British Journal of Neurosurgery
Vol/bind	25
Nummer	3
Sider (fra-til)	388-90
Antal sider	3
ISSN	0268-8697
DOI	https://doi.org/10.3109/02688697.2011.558945
Status	Udgivet - 2011

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10.3109/02688697.2011.558945

Citationsformater

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title = "Recurrence of chronic subdural haematomata with and without post-operative drainage",

abstract = "Chronic subdural haematoma is a common disease causing morbidity and mortality. Recurrence after surgical treatment is common, varying from 5% to 30% of cases. Several methods for reducing recurrence have been advocated. The aim of this study was to investigate the effect of post-operative subdural drainage. Three hundred forty-four patients were included in a retrospective study. Treatment was performed by burr hole irrigation. Groups were separated into those with post-operative drainage compared to those without. Recurrence occurred in 14% in the drained group, significantly less than 26% in the undrained group (p=0.011). There were no differences in the complication rates. Post-operative drainage reduces recurrence of chronic subdural haematoma without increasing the complication rate. These results support those reported in several other studies. We recommend the use of post-operative subdural drainage.",

keywords = "Drainage, Dura Mater, Female, Hematoma, Subdural, Chronic, Humans, Male, Patient Selection, Postoperative Complications, Postoperative Period, Recurrence, Retrospective Studies, Therapeutic Irrigation, Tomography, X-Ray Computed, Treatment Outcome, Trephining",

author = "Carlsen, {Jakob G} and S{\o}ren Cortnum and S{\o}rensen, {Jens C}",

year = "2011",

doi = "10.3109/02688697.2011.558945",

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journal = "British Journal of Neurosurgery",

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TY - JOUR

T1 - Recurrence of chronic subdural haematomata with and without post-operative drainage

AU - Carlsen, Jakob G

AU - Cortnum, Søren

AU - Sørensen, Jens C

PY - 2011

Y1 - 2011

N2 - Chronic subdural haematoma is a common disease causing morbidity and mortality. Recurrence after surgical treatment is common, varying from 5% to 30% of cases. Several methods for reducing recurrence have been advocated. The aim of this study was to investigate the effect of post-operative subdural drainage. Three hundred forty-four patients were included in a retrospective study. Treatment was performed by burr hole irrigation. Groups were separated into those with post-operative drainage compared to those without. Recurrence occurred in 14% in the drained group, significantly less than 26% in the undrained group (p=0.011). There were no differences in the complication rates. Post-operative drainage reduces recurrence of chronic subdural haematoma without increasing the complication rate. These results support those reported in several other studies. We recommend the use of post-operative subdural drainage.

AB - Chronic subdural haematoma is a common disease causing morbidity and mortality. Recurrence after surgical treatment is common, varying from 5% to 30% of cases. Several methods for reducing recurrence have been advocated. The aim of this study was to investigate the effect of post-operative subdural drainage. Three hundred forty-four patients were included in a retrospective study. Treatment was performed by burr hole irrigation. Groups were separated into those with post-operative drainage compared to those without. Recurrence occurred in 14% in the drained group, significantly less than 26% in the undrained group (p=0.011). There were no differences in the complication rates. Post-operative drainage reduces recurrence of chronic subdural haematoma without increasing the complication rate. These results support those reported in several other studies. We recommend the use of post-operative subdural drainage.

KW - Drainage

KW - Dura Mater

KW - Female

KW - Hematoma, Subdural, Chronic

KW - Humans

KW - Male

KW - Patient Selection

KW - Postoperative Complications

KW - Postoperative Period

KW - Recurrence

KW - Retrospective Studies

KW - Therapeutic Irrigation

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

KW - Trephining

U2 - 10.3109/02688697.2011.558945

DO - 10.3109/02688697.2011.558945

M3 - Journal article

C2 - 21501053

SN - 0268-8697

VL - 25

SP - 388

EP - 390

JO - British Journal of Neurosurgery

JF - British Journal of Neurosurgery

IS - 3

ER -

Recurrence of chronic subdural haematomata with and without post-operative drainage

Abstract

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