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.
| Original language | English |
|---|---|
| Journal | British Journal of Neurosurgery |
| Volume | 25 |
| Issue | 3 |
| Pages (from-to) | 388-90 |
| Number of pages | 3 |
| ISSN | 0268-8697 |
| DOIs | |
| Publication status | Published - 2011 |
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