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J Neurol Surg A Cent Eur Neurosurg 2016; 77(05): 416-421
DOI: 10.1055/s-0035-1564049
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Comparison of Irrigation versus No Irrigation during Burr Hole Evacuation of Chronic Subdural Hematoma

Muzna Iftikhar
1   Medical College, Aga Khan University Hospital, Karachi, Pakistan
,
Usman Tariq Siddiqui
2   Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
,
Mohammad Yaseen Rauf
2   Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
,
Ali Osama Malik
1   Medical College, Aga Khan University Hospital, Karachi, Pakistan
,
Gohar Javed
2   Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
› Author Affiliations
Further Information

Publication History

21 December 2014

03 July 2015

Publication Date:
28 April 2016 (online)

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Abstract

Objective To compare the results of the use of irrigation versus no irrigation during burr hole evacuation of chronic subdural hematoma (CSDH).

Methodology The study was a retrospective chart review of those patients who underwent burr hole evacuation of CSDH during a period of 5 years. Cases were divided into two groups based on the use of irrigation during surgery. A subdural drain was placed in all patients (i.e., in both the irrigation and no-irrigation groups) and removed 24 to 48 hours postoperatively.

Results The total sample size was 56, of which 34 patients were in the irrigation group and 22 in the no-irrigation group. Recurrence rate was 17.6% in the irrigation group and 9.1% in the no-irrigation group (p = 0.46). Systemic complications were predominantly cardiac related in the no-irrigation group compared with respiratory complications in the irrigation group. The irrigation group had a mortality rate of 5.9% compared with 4.5% in the no-irrigation group (p = 0.66).

Conclusion No statistically significant difference was found between the two groups in terms of recurrence or mortality.

Keywords

chronic subdural hematoma - surgery - burr hole - irrigation - recurrence
 

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