Modified bedside twist drill craniostomy for evacuation of chronic subdural haematoma.

Modified bedside twist drill craniostomy for evacuation of chronic subdural haematoma. Wideochir Inne Tech Maloinwazyjne. 2019 Sep;14(3):442-450 Authors: Szmuda T, Kierońska S, Słoniewski P, Dzierżanowski J Abstract Introduction: Standard craniotomy (SC) and burr hole craniostomy (BHC) are regarded as the standard approaches to chronic subdural haematoma (CSDH). Bedside twist drill craniostomy (TDC), performed at the patient's bedside, was introduced as an alternative to the standard methods. However, clinical and radiological features of patients treated with TDC and BHC/SC have not been compared. Aim: To demonstrate the specific features of CSDH that affect the surgeons' preferences when selecting patients for TDC. Material and methods: A retrospective analysis of 32 patients treated due to CSDH in the year 2017 at a single institution was performed. Baseline radiological characteristics, clinical status at admission, complication rate and clinical outcomes were compared between BHC/SC and TDC. Results: Of the 32 patients, 5 (15.6%) were treated using TDC and 27 (84.4%) by SC or BHC. The duration of the TDC procedure was significantly shorter than the time of standard therapies (p 0.05). Patients treated with TDC had a significantly thicker haematoma (TDC vs. BHC/SC: mean 25.3 mm vs. 14.6 mm) (p
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

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