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ORIGINAL ARTICLE
Year : 2016  |  Volume : 30  |  Issue : 2  |  Page : 103-105

Endoscope-assisted single burr hole drainage and irrigation of chronic subdural hematoma (SDH): A retrospective analysis


1 Department of Surgery, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India
2 Department of Radiodiagnosis, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India
3 Department of Microbiology, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India

Correspondence Address:
Vyas Khongbantabam
Department of Surgery, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal - 795 005, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.182910

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Background: Chronic subdural hematoma (SDH) is usually associated with mild trivial head trauma in the elderly population. Its treatment varies from multiple burr hole, irrigation, twist drill, and craniotomy for membranectomy. Objectives: 1) To describe the operative procedure of single burr hole, drainage, and irrigation assisted by an endoscope in the management of patients with chronic SDH and 2) to present its favorable outcome. Materials and Methods: Seventy-two patients were managed by endoscope-assisted single burr hole, drainage, and irrigation during the period from July 2008 to August 2013. All patients were given local anesthesia. Retrospective data at the times of admission, discharge, and at follow-up at 3 weeks and 6 weeks were analyzed. Results: The mean age of the patients was 65 years and males outnumbered females. Average operation time was 30 min. All patients were discharged at Markwalder's grade 0 within 3-4 days of admission. There were 1.38% cases of seizures but no cases with recurrences or mortality. On follow-up, 86.11% and 100% cases of full brain expansion were achieved at 3 and 6 weeks, respectively. Conclusion: Endoscope-assisted single burr hole drainage and irrigation of chronic SDH is simple, safe, and patient friendly. The short duration of this surgery performed in the elderly patients under local anesthesia is its biggest advantage.


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