Comparison of Drainage Volume of Chronic Subdural Hematoma According to Drainage Catheter Type.
10.3349/ymj.2013.54.5.1091
- Author:
Gun Young LEE
1
;
Chang Hyun OH
;
Yu Shik SHIM
;
Seung Hwan YOON
;
Hyeong Chun PARK
;
Chong Oon PARK
;
Dongkeun HYUN
Author Information
1. Department of Neurosurgery, School of Medicine, Inha University, Incheon, Korea. dkhyun@inha.ac.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Chronic subdural hematoma;
catheter;
drainage
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Catheters/*adverse effects;
Child;
Child, Preschool;
Drainage;
Equipment Design;
Female;
Hematoma, Subdural, Chronic/surgery/*therapy;
Humans;
Infant;
Male;
Middle Aged;
Retrospective Studies
- From:Yonsei Medical Journal
2013;54(5):1091-1097
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To assess the therapeutic value of two different drainage catheters in treating chronic subdural hematoma (CSDH). MATERIALS AND METHODS: 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.
