Comparison of Drainage Volume of Chronic Subdural Hematoma According to Drainage Catheter Type
Yonsei Medical Journal
;
: 1091-1097, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-198369
ABSTRACT
PURPOSE:
To assess the therapeutic value of two different drainage catheters in treating chronic subdural hematoma (CSDH). MATERIALS ANDMETHODS:
Two types of drainage catheters can be used to treat CSDH according to the position of holes in the catheter open-type or closed-type catheter. In this retrospective study, 199 total patients with CSDH were reviewed according to catheter type. Among them, 84 patients were and 113 in the closed-type group (holes positioned within the distal-most 1 cm of the catheter). The surgeon selected the catheter type. Total drainage volume, initial drainage volume within 2 days, percentage of initial drainage volume per total drainage volume, duration of catheter insertion, and reoperation rate were compared.RESULTS:
Total drainage volume was not different between the two groups (p=0.333). The initial drainage volume within 2 days was larger in the open-type group than closed-type group (p=0.024), but the percentage of initial drainage volume per total drainage volume was not different (p=0.354). The duration of catheter insertion was shorter in the open-type group than closed-type group (p=0.015). The reoperation rate of CSDH was also higher in the open-type group than closed-type group (p=0.004).CONCLUSION:
CSDH drainage with an open-type catheter is faster compared with a closed-type catheter, but total drainage volume is similar and reoperation rate is higher. Therefore, the open-type catheter for CSDH drainage has limited clinical value.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Drenagem
/
Estudos Retrospectivos
/
Hematoma Subdural Crônico
/
Desenho de Equipamento
/
Catéteres
Tipo de estudo:
Estudo observacional
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Lactente
/
Masculino
Idioma:
Inglês
Revista:
Yonsei Medical Journal
Ano de publicação:
2013
Tipo de documento:
Artigo
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