Randomized Comparative Study of Burr-hole Craniostomy Versus Twist Drill Craniostomy; Surgical Management of Unilateral Hemispheric Chronic Subdural Hematomas

2008 ◽  
Vol 69 (03) ◽  
pp. 129-133 ◽  
Author(s):  
M. Gökmen ◽  
H. Sucu ◽  
A. Ergin ◽  
A. Gökmen ◽  
H. Bezircio∂lu
Author(s):  
B.K.A. Weir

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.


2017 ◽  
Vol 31 (3) ◽  
pp. 346-355
Author(s):  
Somil Jaiswal ◽  
A.K. Chaudhuri ◽  
S.N. Ghosh ◽  
S. Ghosh ◽  
S.K. Saha ◽  
...  

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.


2011 ◽  
Vol 8 (2) ◽  
pp. 83-88 ◽  
Author(s):  
SK Singh ◽  
M Sinha ◽  
VK Singh ◽  
A Parihar ◽  
C Srivastava ◽  
...  

2019 ◽  
Vol 126 ◽  
pp. e944-e952 ◽  
Author(s):  
Guillaume Baucher ◽  
Lucas Troude ◽  
Vanessa Pauly ◽  
Florian Bernard ◽  
Laurent Zieleskiewicz ◽  
...  

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