Subgaleal Drain for Chronic Subdural Hematoma
Journal Title: Chettinad Health City Medical Journal - Year 2017, Vol 6, Issue 3
Abstract
Aim : The aim of the present study is to Evaluate the use of subgaleal drain in the drainage of Chronic Subdural Hematomas(CSDH) and to study the incidence of recollection, infection and other complications in these cases. Materials and Methods : This is a prospective observational study.All the cases of chronic subdural hematomas diagnosed and operated at the Department of Neurosurgery,Chettinad Hospital and Research Institute,Chennai during the 2 year study period were included. All CSDH cases excluding recurrent CSDH and coagulopathies were excluded. Standard 2 burr hole craniotomy and evacuation done with subgaleal drain near posterior burr hole. Results : Thirty three cases of Chronic Subdural Hematoma have been analysed in this prospective observational study. There have been no incidence of recurrence or infection in this series. The incidence of symptomatic pneumocephalus has been very small and did not require any surgical intervention.The rate of complication associated with the use of subgaleal drainage system is better than what is reported in literature with the use of other drain systems. Conclusion : Subgaleal drainage system should be considered as a safe, simple and effective alternate to Subdur- al, Subperiosteal drainage system in the treatment of Chronic Subdural Hematoma.This is only the third study in available literature for the use of subgaleal closed system drainage for Chronic Subdural Hematoma. However this is only a small study and we plan to continue the study with a larger sample size.
Authors and Affiliations
Karthikeyan KV, Siddarth S, Ramesh VG, Jayendra P
Keywords
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