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Single versus double burr hole drainage of chronic subdural hematomas. A study of 267 cases
Authors:Ritesh Kansal  Trimurti Nadkarni  Atul Goel
Affiliation:1. Department of Neurosurgery, Barrow Neurological Institute, St. Joseph''s Hospital and Medical Center, Phoenix, Arizona, USA;2. Department of Neurological Surgery, HIGA Vicente Lopez y Planes Gral Rodriguez, Buenos Aires, Argentina;3. Department of Neurological Surgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, USA;1. Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania;2. Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania;1. Department of Neurosurgery, FeiXian People Hospital, FeiXian, China;2. Department of Neurosurgery, ZhongNan Hospital, WuHan University, WuHan, China;1. Resident, Department for Neurosurgery, Jena University Hospital – Friedrich Schiller University Jena, Germany;2. Student, Jena University Hospital – Friedrich Schiller University Jena, Germany;3. Consultant, Department for Anaesthesiology and Intensive Care, Jena University Hospital – Friedrich Schiller University Jena, Germany;4. Consultant, Department of Neurosurgery, Jena University Hospital – Friedrich Schiller University Jena, Germany;5. Professor, Department for Neurosurgery, Jena University Hospital – Friedrich Schiller University Jena, Germany;6. Consultant, Department of Neurosurgery, Jena University Hospital – Friedrich Schiller University Jena, Germany;1. Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Luzhou, China;2. Neurosurgery Clinical Medical Research Center of Sichuan Province, Luzhou, China;3. Academician and Expert Workstation of Sichuan Province, Luzhou, Sichuan, China;1. Faculty of Medicine, University of Basel, Basel, Switzerland;2. Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland;3. Department of Neurosurgery, Inselspital Bern, Bern, Switzerland;4. Clinical Trial Unit, University Hospital of Basel, Basel, Switzerland;5. Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland
Abstract:A spectrum of surgical techniques has been used in the management of chronic subdural hematomas. Single burr hole and double burr hole drainage are among the commonest techniques. A retrospective analysis of 267 patients with chronic subdural hematomas treated surgically by either single or double burr holes was performed. Recurrence rates of subdural hematomas treated either with single or double burr holes were not significantly different (χ2; p > 0.05). Thus, the number of burr holes does not affect the post-operative recurrence rate of chronic subdural hematomas. Both techniques are equally effective treatments.
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