A STUDY ON THE USE OF SUBGALEAL DRAIN IN THE TREATMENT OF CHRONIC SUBDURAL HAEMATOMA
Chronic subdural haematoma
(CSDH) is one of the common problems seen in Neurosurgical practice. There are
many surgical options available including twist drill drainage, burr hole
drainage and craniotomy. Majority of neurosurgeons use burr hole drainage. Even
in this, there is a controversy whether to use single or two burr holes,
whether to use irrigation or not, whether to use drains or not and the type of
drain and so on. Only very few studies using the subgaleal drain for treatment
of CSDH are available in the literature.
Thirty two cases of Chronic Subdural Haematoma have
been analysed in this prospective observational study over a three year period.
The use of Subgaleal drainage system was utilised in all the cases and the
various pros and cons of the use the subgaleal drain in the treatment of
Chronic Subdural Haematoma were analysed and it was concluded that Subgaleal
drainage system should be considered as a safe, simple and effective alternate
to Subdural, Subperiosteal Drainage system in the treatment of Chronic Subdural
Haematoma.
This is only
the third study in available literature for the use of subgaleal closed system
drainage for Chronic Subdural Haematoma.
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