PMID- 17476197
OWN - NLM
STAT- MEDLINE
DCOM- 20071030
LR  - 20181201
IS  - 1234-1010 (Print)
IS  - 1234-1010 (Linking)
VI  - 13
IP  - 5
DP  - 2007 May
TI  - Controversies in chronic subdural hematoma: continuous drainage versus one-time 
      drainage.
PG  - CR240-3
AB  - BACKGROUND: Various surgical methods are recommended for the therapy of chronic 
      subdural hematoma (CSH). In this study, burr-hole continuous drainage (CD) and 
      burr-hole one-time drainage (OTD) methods for the treatment of CSH are 
      retrospectively compared. MATERIAL/METHODS: Fifty patients with CSH referred to 
      this clinic between July 1995 and December 2003 were selected for treatment. 
      Twenty-one patients were treated by the burr-hole OTD method and 29 patients 
      received burr-hole CD therapy. The recurrence rates and the extension of the 
      hematoma were evaluated with respect to the period of postoperative 
      hospitalization to evaluate the most effective RESULTS: The postoperative 
      hospitalization period was 7.9 days in the burr-hole continuous drainage group 
      and 17 days in the burr-hole one-time drainage group. Recurrence developed in two 
      cases (6.8%) in the CD group and in six cases (28.5%) in the OTD group. When the 
      pre- and postoperative hematoma extension in the CD group were compared, a 
      significant degree of decrease was observed on post-op day 1. Extension of the 
      hematoma was found to be minimal in the days following the modification. The 
      width of the hematoma in the OTD group was also reduced at post-op day 1; 
      however, the degree of this decrease was not significant. CONCLUSIONS: Continuous 
      drainage therapy for CSH is superior to the one-time drainage method due to the 
      shorter time of post-op hospitalization and to the reduced rate of recurrence.
FAU - Kiymaz, Nejmi
AU  - Kiymaz N
AD  - Department of Neurosurgery, Yuzuncu Yil University School of Medicine, Van, 
      Turkey. nejmikiymaz@yahoo.co.uk
FAU - Yilmaz, Nebi
AU  - Yilmaz N
FAU - Mumcu, Cigdem
AU  - Mumcu C
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Med Sci Monit
JT  - Medical science monitor : international medical journal of experimental and 
      clinical research
JID - 9609063
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - *Decompression, Surgical/methods/statistics & numerical data
MH  - Drainage/*methods
MH  - Female
MH  - Hematoma, Subdural, Chronic/pathology/*surgery
MH  - Humans
MH  - Infant
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Postoperative Period
MH  - Recurrence
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2007/05/04 09:00
MHDA- 2007/10/31 09:00
CRDT- 2007/05/04 09:00
PHST- 2006/01/06 00:00 [received]
PHST- 2006/02/15 00:00 [accepted]
PHST- 2007/05/04 09:00 [pubmed]
PHST- 2007/10/31 09:00 [medline]
PHST- 2007/05/04 09:00 [entrez]
AID - 8635 [pii]
PST - ppublish
SO  - Med Sci Monit. 2007 May;13(5):CR240-3.