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Journals / Journal of Neurological Sciences (Turkish) / 2012 / Cilt: 29 - Sayı: 2

Kronik Subdural Hematom Tedavisinde Burr Hole Irrigasyon ile Burr Hole Irrigasyon Sonrası Kapalı Sistem Drenaj Yöntemlerinin Karşılaştırılması

Comparison of Burr Hole Irrigation and Closed System Drainage Methods After Burr Hole Irrigation in The Treatment of Chronic Subdural Hematoma

Enis KURUOĞLU
Murat GÜNAL
Mehmet SEÇER
Niyazi KALYONCU
Pages
280–284
Publication Date
2022-10-19
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

No pathology requiring additionalsurgery was detected in the follow-up of the patients who underwent BHI-CSD.Conclusion: Closed system drainage through burr hole irrigation in CSDH cases is a simpleand reliable method which reduces the risk for recurrence and reoperation and enablesevacuation of anticoagulants such as plasminogen and thrombomodulin, products of impairedcoagulation- anticoagulation balance.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Comparison of evacuation of hematoma through burr hole irrigation (BHI) andclosed system drainage (CSD) after burr hole irrigation in the treatment of chronic subduralhematoma (CSDH) in terms of relapse.Materials and Methods: 32 patients who were operated with CSDH diagnosis between 2001and 2008 were retrospectively evaluated with respect to clinical features, etiologic factors,surgical technique and recurrence.
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Key Findings & Data:Of the 5 recurrent cases in BHI group, 2 (20%) receivedtap and 3 received excision of hematoma via craniotomy.
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Conclusion & Impact:No pathology requiring additionalsurgery was detected in the follow-up of the patients who underwent BHI-CSD.Conclusion: Closed system drainage through burr hole irrigation in CSDH cases is a simpleand reliable method which reduces the risk for recurrence and reoperation and enablesevacuation of anticoagulants such as plasminogen and thrombomodulin, products of impairedcoagulation- anticoagulation balance.
🔬Design:Research Article
📍Scope:2008 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Comparison of evacuation of hematoma through burr hole irrigation (BHI) andclosed system drainage (CSD) after burr hole irrigation in the treatment of chronic subduralhematoma (CSDH) in terms of relapse.Materials and Methods: 32 patients who were operated with CSDH diagnosis between 2001and 2008 were retrospectively evaluated with respect to clinical features, etiologic factors,surgical technique and recurrence. Of the 5 recurrent cases in BHI group, 2 (20%) receivedtap and 3 received excision of hematoma via craniotomy. No pathology requiring additionalsurgery was detected in the follow-up of the patients who underwent BHI-CSD.Conclusion: Closed system drainage through burr hole irrigation in CSDH cases is a simpleand reliable method which reduces the risk for recurrence and reoperation and enablesevacuation of anticoagulants such as plasminogen and thrombomodulin, products of impairedcoagulation- anticoagulation balance.

Özet

Amaç: Kronik Subdural Hematom (KSDH) tedavisinde burr hole irrigasyonla (BHİ)hematom boşaltılması ile burr hole irrigasyon sonrası kapalı sistem drenajı (BHİ-KSD)uygulanmasının nüks açısından karşılaştırılması.Gereç ve Yöntem: KSDH tanısı ile 2001-2008 yılları asında opere edilen 32 olgu kliniközellikleri, etyolojik neden, uygulanan cerrahi yöntem ve rekurrens açısından retrospektifolarak değerlendirildi. BHİ grubunda nüks gelişen 5 olgunun (%20) 2'sinde tap, olguların3'ünde kraniotomi ile hematom eksizyon yapılmıştır. BHİ-KSD uygulanan olgularıntakiplerinde ek cerrahi gerektirecek patoloji saptanmamıştır.Sonuç: KSDH olgularında burhole irrigasyon ile kapalı sistem drenaj uygulanması bozulmuşolan koagulasyonantikoagulasyon dengesinin ürünü olan plasminojen ve trombomodulingibi antikoagulanların boşaltılmasını sağlayarak nüks ve reoperasyon riskini azaltacak basit vegüvenli bir metotdur.

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Cite This Article

KURUOĞLU, E., GÜNAL, M., SEÇER, M., KALYONCU, N. (2022). Kronik Subdural Hematom Tedavisinde Burr Hole Irrigasyon ile Burr Hole Irrigasyon Sonrası Kapalı Sistem Drenaj Yöntemlerinin Karşılaştırılması. Journal of Neurological Sciences (Turkish), Cilt: 29 - Sayı: 2, 280–284. https://ajindex.com/articles/565713

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