scholarly journals Results of Burr Hole and Open or Closed Suction Drainage for Chronic Subdural Hematomas in Adults

1983 ◽  
Vol 10 (1) ◽  
pp. 22-26 ◽  
Author(s):  
B.K.A. Weir
Keyword(s):  
Closed System ◽  
Burr Hole ◽  
Twist Drill ◽  
Suction Drainage ◽  
Suction Drain ◽  
Subdural Hematomas ◽  
Closed Suction Drainage ◽  
Rubber Catheter ◽  
Drill Holes ◽  
The Brain

SUMMARY:Chronic subdural hematomas in adults are not technically difficult to treat. They probably constitute one of the most common potentially curable lesions with which the average neurosurgeon deals. Despite this (or perhaps because of it) numerous treatments, radically differing from one another, have been advocated. Fine judgement is called for in deciding whether or not to operate in the first instance, make a flap or one or more burr or twist drill holes, use a drain, employ suction, inflate the brain, leave the bone flap out. In a personal series of 71 chronic subdural hematomas, 46 were treated with a red rubber catheter drain through a burr hole and 23 with a closed system suction drain. The results of this series suggest that closed system suction drainage through a single burr hole is the better of the two techniques. It has important theoretical advantages and the procedure is simple and fast. The complication rate is low and patients have a shortened postoperative hospital stay.

Hyperthermia catheter implantation and therapy in the brain

1990 ◽  
Vol 72 (6) ◽  
pp. 975-979 ◽  
Author(s):  
J. Alexander Marchosky ◽  
Christopher J. Moran ◽  
Neal E. Fearnot ◽  
Charles F. Babbs
Keyword(s):  
Computerized Tomography ◽  
Malignant Gliomas ◽  
Twist Drill ◽  
Ct Scanner ◽  
Tumor Blood Flow ◽  
Content Type ◽  
Catheter Implantation ◽  
Computer Controlled ◽  
Drill Holes ◽  
The Brain

✓ For the treatment of malignant gliomas, a technique for implanting hyperthermia catheters was developed that utilized a stereotactic template and head-stabilization frame mounted on a computerized tomography (CT) scanner. Computerized tomography scans were used to measure tumor dimensions and to determine the number, implantation depths, and active heating lengths of the catheters, which were implanted through twist-drill holes while the patient was in the CT room. Heat was subsequently delivered via implanted catheters using a computer-controlled hyperthermia system, which partially compensates for heterogeneous and time-varying tumor blood flow.

Recurrence factors for chronic subdural hematomas after burr-hole craniostomy and closed system drainage

1999 ◽  
Vol 21 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Katsumi Matsumoto ◽  
Katsuhito Akagi ◽  
Makoto Abekura ◽  
Hideho Ryujin ◽  
Motohisa Ohkawa ◽  
...  
Keyword(s):  
Closed System ◽  
Burr Hole ◽  
Subdural Hematomas

scholarly journals An improvised two in one syringe suction drain for surgeries of extremities

2005 ◽  
Vol 38 (02) ◽  
pp. 173-174
Author(s):  
J B Kamath ◽  
R K Kamath ◽  
H Bansal
Keyword(s):  
Drainage System ◽  
Ring Finger ◽  
Suction Drainage ◽  
Palmar Fascia ◽  
Closed Suction ◽  
Suction Drain ◽  
Longitudinal Band ◽  
Closed Suction Drainage ◽  
Surgical Wounds ◽  
Negative Suction

AbstractUse of an improvised two in one syringe suction drain is being presented for a case with two adjacent non-communicating surgical wounds following release of Duputryn′s contracture primarily involving the longitudinal band of the palmar fascia of the hand, in line with the middle and ring finger. Instead of using two separate closed suction drainage system we modified our method by using a 3 way cannula which could accept 2 draining tubes to be connected to one 50cc syringe with negative suction pressure.

Twist Drill Craniostomy and Closed System Drainage of Chronic and Subacute Subdural Hematomas

Neurosurgery ◽  
1983 ◽  
Vol 13 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Candace K. Carlton ◽  
Richard L. Saunders
Keyword(s):  
Prospective Study ◽  
Ct Scan ◽  
Closed System ◽  
Chronic Subdural Hematoma ◽  
Twist Drill ◽  
Computed Tomographic ◽  
Subdural Hematomas ◽  
Initial Procedure ◽  
A Prospective Study ◽  
Length Of Hospitalization

Abstract Based on reports in the literature on the success and low morbidity of twist drill craniostomy (TDC) and closed system drainage (CSD) for chronic subdural hematomas, a prospective study was initiated in 1981 and included all symptomatic patients presenting with a history and clinical and computed tomographic (CT) findings consistent with subacute or chronic subdural hematoma. A total of nine patients were treated with TDC and CSD as the initial procedure. An asymptomatic or progressively improving patient with greater than 50% reduction in subdural size by repeat CT scan was set as the end point of therapy. There were no complications, all patients improved with drainage, and seven were cured by this method alone. The results are compared retrospectively to surgically treated patients, and an overall decrease in morbidity and length of hospitalization are noted. The technique and CT scan correlations are described, and the rationale for use of this method is discussed in terms of our current understanding of the pathophysiology and complications of the disease.

Do Complication Rates of Ventricular Drain Placement Differ between Twist Drill and Burr Hole in Acute Hydrocephalus?

2019 ◽  
Vol 80 (04) ◽  
pp. 277-284 ◽  
Author(s):  
Christine Brand ◽  
Andrej Pala ◽  
Wilhelm Kielhorn ◽  
Christian Rainer Wirtz ◽  
Thomas Kapapa
Keyword(s):  
External Ventricular Drainage ◽  
Brain Parenchyma ◽  
Burr Hole ◽  
Acute Subdural Hematoma ◽  
Complication Rates ◽  
Twist Drill ◽  
Acute Hydrocephalus ◽  
Duration Of Surgery ◽  
The Difference ◽  
The Brain

Objective The aim of the study was to compare two techniques for external ventricular drainage (EVD) placement with respect to their complication rates. Methods A retrospective descriptive study was performed to analyze all patients who had undergone EVD implantation for acute hydrocephalus between January 2010 and December 2013 with a focus on surgical technique and rate of complications. The burr hole technique (BHT) was used in one group and the twist-drill technique (TDT) in the other. Particular attention was paid to malposition, hemorrhage, and catheter-associated infection. Results A total of 350 consecutive patients underwent EVD implantation for acute hydrocephalus: BHT was performed in 201 and TDT in 147 of the patients, whereas in two patients the technique used was unknown. The overall infection rate was 6.3% (n = 22). Fourteen patients (4%) in the BHT group developed an infection compared with eight patients (9.5%) in the TDT group (p = 0.154). In 16 (4.5%) of all cases, postoperative computed tomography revealed catheter-induced hemorrhage.In one case (0.3%), surgery was necessary due to acute subdural hematoma. The difference between both techniques was not statistically significant (p = 0.343). In 44 (12.6%) of all cases, the position of the EVD tip was contralateral; in 36 (10.3%) of all cases, the EVD tip was in the brain parenchyma. The rate of malposition was 11.6% (n = 17) in the TDT group and 9.5% (n = 19) in the BHT group (p = 0.078). Conclusion Neither technique showed significantly different numbers in terms of infection, malposition, and hemorrhagic complications. EVD implantation using the TDT is an adequate method compared with BHT. The advantages of TDT are clear: the duration of surgery is shorter, the size of the wound is smaller, and the surgeon is not confined to the operating room.

scholarly journals Twist drill craniostomy vs Burr hole craniostomy in chronic subdural hematoma: a randomized study

2017 ◽  
Vol 31 (3) ◽  
pp. 346-355
Author(s):  
Somil Jaiswal ◽  
A.K. Chaudhuri ◽  
S.N. Ghosh ◽  
S. Ghosh ◽  
S.K. Saha ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Randomized Study ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Twist Drill ◽  
Randomized Controlled ◽  
Subdural Hematomas ◽  
Prospective Randomized Controlled Trial ◽  
Surgical Duration

Abstract Aim: To compare two most common operative procedures used in patients with chronic subdural hematomas - Twist drill craniostomy and Burr Hole Craniostomy. Material and Methods: The study was a prospective randomized controlled trial on patients with chronic subdural hematomas. Results: Both procedures are comparable with respect to outcome but surgical duration is statistically higher in Burr Hole craniostomy than Twist Drill Craniostomy. Conclusion: Twist Drill Craniostomy is procedure of choice in emergency surgical situation.

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