Volume : VIII, Issue : VI, June - 2019

Microsurgical Aneurysm surgery in a resource limited Tertiary care hospital: our experience

Dr. Sanghmitra Sarkar, Dr. Payoz Pandey

Abstract :

The most common cause of spontaneous SAH is aneurysmal rupture which is a neurological emergency usually presenting with severe headache. The diagnosis of SAH is missed in12–51% of patients with headache. In patients presenting with spontaneous SAH the diagnosis of aneurysm(~11.7%) can be missed Annual incidence of aneurysmal SAH is estimated to be approximately 6–7 per 100,000 persons. Below 50 years of age, the incidence among men and women are similar .Beyond 50 years, the incidence is higher in women. The incidence is reported to be1.24–1.6 times more in women as compared to men. Aims and Objectives–To evaluate the feasibility of performing Aneurysmal clipping in resource¬ limited tertiary care hospital and evaluate its outcome. Materials and methods– Our study is a retrospective analysis of Aneurysm surgeries performed since May 2015–October 2018 in Neurosurgery operation theatre in the Department of Neurosurgery, Calcutta National Medical College and Hospital (CNMC &H). Results and discussion–73 aneurysms were clipped in the aforementioned period. Average Age of the patients–53.25. M:F Ratio–1:1.7. Common clinical presentations–Headache(most common), Nausea, vomiting, Meningismus, Focal neurological deficit, Seizures, altered consciousness. Other parameters studied included incidence of different type of aneurysms, WFNS grade of the patient, average duration of surgeries, types of clips used and the complications of the surgery. Conclusion– We have analysed our data and noted a slightly higher overall mortality and complication rate as compared to other studies at high volume centers. The results though have improved over time. This proves the feasibility of performing aneurysmal surgery at a resource limited hospital.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

MICROSURGICAL ANEURYSM SURGERY IN A RESOURCE LIMITED TERTIARY CARE HOSPITAL: OUR EXPERIENCE, Dr.Sanghmitra Sarkar, Dr.Payoz Pandey INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-6 | June-2019

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