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. 2020 Sep;162(9):2015-2017.
doi: 10.1007/s00701-020-04473-9. Epub 2020 Jun 25.

Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma

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Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma

Thorbjørn Søren Rønn Jensen et al. Acta Neurochir (Wien). 2020 Sep.

Abstract

Strengths and limitations of subdural versus subperiosteal drain location after burr hole evacuation of chronic subdural hematoma (CSDH) are currently debated. The safety of subdural placement of a drain has been questioned in a recent study by Soleman et al. from 2019, showing a misplacement rate of 17%, and these results have been further highlighted by the same authors, with a slightly lower misplacement rate of 15.8%, in the recent paper "When the drain hits the brain." The safety of subdural drainage for CSDH depends to a high degree on type of drain and surgical technique. In this technical note, we describe drain type and technique for drain placement which is standardized in Denmark.

Keywords: Chronic subdural hematoma; Safety; Subdural drain.

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References

    1. Andersen-Ranberg NC, Debrabant B, Poulsen FR, Bergholt B, Hundsholt T, Fugleholm K (2019) The Danish chronic subdural hematoma study-predicting recurrence of chronic subdural hematoma. Acta Neurochir 161(5):885–894. https://doi.org/10.1007/s00701-019-03858-9 - DOI - PubMed
    1. Kamenova M, Wanderer S, Lipps P, Marbacher S, Mariani L, Soleman J (2020) When the drain hits the brain. World Neurosurg. https://doi.org/10.1016/j.wneu.2020.02.166
    1. Ronn Jensen TS, Andersen-Ranberg N, Poulsen FR, Bergholt B, Hundsholt T, Fugleholm K (2018) National guidelines for treatment of chronic subdural haematoma. Ugeskr Laeger 180(42):V03180160
    1. Santarius T, Kirkpatrick PJ, Ganesan D, Chia HL, Jalloh I, Smielewski P et al (2009) Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial. Lancet 374(9695):1067–1073. https://doi.org/10.1016/s0140-6736(09)61115-6 - DOI - PubMed
    1. Sjavik K, Bartek J Jr, Sagberg LM, Henriksen ML, Gulati S, Stahl FL et al (2017) Assessment of drainage techniques for evacuation of chronic subdural hematoma: a consecutive population-based comparative cohort study. J Neurosurg:1–7. https://doi.org/10.3171/2016.12.Jns161713

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