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Acta Neurochir (Wien). 2007;149(5):487-93; discussion 493. Epub 2007 Mar 28.

Continuous subgaleal suction drainage for the treatment of chronic subdural haematoma.

Author information

1
Department of Neurosurgery, San Giovanni - Addolorata Hospital, Rome, Italy. r.gazzeri@tiscali.it

Abstract

BACKGROUND:

Chronic subdural haematoma is one of the most common entities encountered in daily practice. Many methods of treatment have been reported, each with its own advantages and disadvantages.

METHOD:

The authors present a novel technique for the management of chronic subdural haematoma which is a variation of a closed drainage system. After evacuation of the haematoma through a single burr hole, we inserted a Jackson Pratt drain into the subgaleal space, with suction facing the burr hole, allowing for continuous drainage of the remaining haematoma.

FINDINGS:

We used the method for over 4 years to treat 224 patients. Seventeen patients (7.6%) needed a second operation for a recurrence of the haematoma no patient required a third operation. Postoperative complications developed in 3 patients. Two patients died while in the hospital, a mortality rate of 0.9%.

CONCLUSIONS:

The use of suction assisted evacuation, is followed by results that compare satisfactorily to reports of previous methods, with a low rate of recurrence and complications. It is relatively less invasive and can be used in high risk patients.

PMID:
17387427
DOI:
10.1007/s00701-007-1139-8
[Indexed for MEDLINE]

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