Efficacy of Decompressive Craniectomy in Acute Subdural Hematoma in Head Injury Patients, Madurai Medical College, Madurai
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Aims and Objectives: The aims and objectives are as follows: (1) To study the effect of decompressive craniectomy in head injury patient with subdural hematoma (SDH), (2) to compare the outcome of non-operative patients, and (3) to identify the factors contributing the outcome of decompressive craniectomy. Materials and Methods: This was a retrospective study conducted between November 2015 and October 2016. The patients in trauma head injury ward, Government Rajaji Hospital, Madurai Medical College, Madurai, Tamil Nadu, are grouped as decompressive craniotomy surgery done and conservatively treated with acute SDH. Data regarding mode of accident, GCS - Glasgow coma scale, computed tomography finding, and outcome were collected. Statistical analysis was used to identify factors associated with favorable outcome of the patients. Results: Statistical analysis were done to identify factors associated with mortality, morbidity, and favorable outcome of the patients, by categorizing the patients with GCS Mild - 13 -15 ,moderate - 9 -12, and severe below 8 with traumatic brain injury. For the patients with GCS moderate 9-12 score better outcome occurs if decompressive craniectomy done. Total 527 patients in which 139 patients were operated. Conclusion: Age, severity of head injury, neurological status, and timing of surgery are the main factors influencing outcomes. After moderate head injury with acute SDH, surgery with decompressive craniectomy is the better outcome. Mild head injury can be managed conservatively with continuous neuro observation. In severe head injury, the results are poor.
Authors and Affiliations
H Balasubramanian, Sri Saravanan, G M Niban3, T Gandhi Raj
Keywords
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