SURGICAL MANAGEMENT OF CHRONIC SUBDURAL HEMATOMAS: Comparison between single burrhole closed Drain technique and conventional double burrhole technique.

Dr. K. PRABHURAMAN; Dr. P. MAGESH

Volume : VIII, Issue : VIII, August - 2018

SURGICAL MANAGEMENT OF CHRONIC SUBDURAL HEMATOMAS: Comparison between single burrhole closed Drain technique and conventional double burrhole technique.

Dr. K. Prabhuraman, Dr. P. Magesh

Abstract :

Objective: To compare the efficacy of Single burrhole with closed drain with the routine double burrhole technique in the surgical management of Chronic Subdural Hematoma. Materials and Methods: A total of 96 patients were operated and observed during a three year period. The patients were subjected to single and double burrhole techniques in a nonrandom fasion. Clinical factors were analysed as per Mark Walders Chronic SDH grading scale. Radiological factors such a thickness and density of the SDH and midline shift were compared. The patients were followed up for six months. Results: The study showed that both the techniques were equally effective with no significant differences in respect of clinical and radiological parameters and that single burrhole technique can be used in old and morbid patients with equal effect.