Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma

Strengths and limitations of subdural versus subperiosteal drain location after burr hole evacuation of chronic subdural hematoma (CSDH) are currently debated. The safety of subdural placement of a drain has been questioned in a recent study by Soleman et al. from 2019, showing a misplacement rate o...

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Bibliographic Details
Published in:Acta neurochirurgica 2020-09, Vol.162 (9), p.2015-2017
Main Authors: Jensen, Thorbjørn Søren Rønn, Poulsen, Frantz Rom, Bergholt, Bo, Hundsholt, Torben, Fugleholm, Kåre
Format: Article
Language:English
Subjects:
Blood
Brain
Brain - surgery
Brain trauma
Drainage - adverse effects
Drainage - methods
Drainage - standards
Dura mater
Female
Hematoma
Hematoma, Subdural, Chronic - surgery
Humans
Interventional Radiology
Male
Medicine
Medicine & Public Health
Meninges
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Reference Standards
Subdural Space - surgery
Surgical Orthopedics
Technical Note - Brain trauma
Trephining - adverse effects
Trephining - methods
Trephining - standards
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Summary:Strengths and limitations of subdural versus subperiosteal drain location after burr hole evacuation of chronic subdural hematoma (CSDH) are currently debated. The safety of subdural placement of a drain has been questioned in a recent study by Soleman et al. from 2019, showing a misplacement rate of 17%, and these results have been further highlighted by the same authors, with a slightly lower misplacement rate of 15.8%, in the recent paper “When the drain hits the brain.” The safety of subdural drainage for CSDH depends to a high degree on type of drain and surgical technique. In this technical note, we describe drain type and technique for drain placement which is standardized in Denmark.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-020-04473-9