J Korean Neurotraumatol Soc.  2008 Jun;4(1):19-23. 10.13004/jknts.2008.4.1.19.

Effect of Saline Irrigation in the Surgical Treatment of Chronic Subdural Hematoma

• Seong HY
• Park JB
• Kwon SC
• Sim HB
• Kim Y
• Lyo IU

• KMID: 1814438
• DOI: http://doi.org/10.13004/jknts.2008.4.1.19

Abstract

OBJECTIVE
A number of different techniques are used to treat chronic subdural hematomas (CSDH) surgically. We analyzed whether it is necessary to perform the irrigation after the burr-hole craniostomy in treating CSDH.
METHODS
In this study, 40 CSDH were surgically treated and analyzed retrospectively. Results of the cases that underwent irrigation (group A; N=26) were compared with those did not underwent irrigation (group B; N=14). We used Markwalder grading system to classify clinical status.
RESULTS
There was no statistical difference in the Markwalder grade between two groups at 3 months after surgery. Hematoma thickness on computed tomography was decreased in group A compared to group B at 1 week postoperatively and was slightly more decreased in group B at 1 month later. Recurrence rates were 8% in group A and 0% in group B but there was no statistical difference.
CONCLUSION
We believe that the burr-hole craniostomy-closed system drainage and non-irrigation technique is also reliable and effective method compared to irrigation technique in the treatment of CSDH and may reduce complication related to irrigation.

Keyword

Chronic subdural hematoma; Closed system drainage; Irrigation

MeSH Terms

Drainage
Hematoma
Hematoma, Subdural, Chronic
Recurrence
Retrospective Studies

Figure

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  FIGURE 1 The comparison of recurrece rate after surgery for chronic subdural hematoma between two groups.

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  FIGURE 2 The comparison of post-operative clinical Grades between two groups with Markwalder grade.

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  FIGURE 3 Remaining hematoma thickness at 1 week after operation.

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  FIGURE 4 Remaining hematoma thickness at 4 weeks after operation.

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