Use of siphon irrigation during burr-hole craniostomy to evacuate chronic subdural hematoma: A retrospective cohort comparison study

Burr-hole craniostomy (BHC) is a widely accepted treatment for chronic subdural hematomas (CSDHs). This study adopted siphon irrigation to evacuate CSDHs and investigated its efficacy and safety as compared with the traditional irrigation used in BHC.A retrospective cohort study was conducted at a c...

Full description

Saved in:
Bibliographic Details
Published in:Medicine (Baltimore) 2020-05, Vol.99 (21), p.e20291-e20291
Main Authors: Chen, Song, Chen, Zhen, Yang, Bin, Xu, Tao, Tu, Xian-kun
Format: Article
Language:English
Subjects:
Aged
Craniotomy - methods
Drainage - methods
Equipment Design
Female
Follow-Up Studies
Hematoma, Subdural, Chronic - diagnosis
Hematoma, Subdural, Chronic - surgery
Humans
Intraoperative Period
Male
Middle Aged
Observational Study
Postoperative Period
Retrospective Studies
Therapeutic Irrigation - instrumentation
Tomography, X-Ray Computed
Treatment Outcome
Trephining - instrumentation
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Burr-hole craniostomy (BHC) is a widely accepted treatment for chronic subdural hematomas (CSDHs). This study adopted siphon irrigation to evacuate CSDHs and investigated its efficacy and safety as compared with the traditional irrigation used in BHC.A retrospective cohort study was conducted at a center between January 2017 and December 2018. The data of 171 patients who underwent burr-hole craniostomy for CSDH were collected and analyzed. A total of 68 patients underwent siphon irrigation (siphon group) and 103 patients were treated by a traditional method (control group). A follow-up was conducted 6 months after the surgery.No significant difference was observed in the baseline characteristics and preoperative computed tomography (CT) features of the 2 groups (P > .05). The postoperative CT features of the siphon group, which included the volume of hematoma evacuation (P = .034), hematoma evacuation rate (P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000020291