Review 39 patients with chronic post-traumatic subdural haematoma, who were treated at the 103 Hospital between January 2000 and July 2003. CT scan is a good method of diagnosis and select surgery. The methods of surgery concluded: Burr-hole cranniostomy for haematoma evacuation and irrigation and closed-system drainge are safe and effective method for treatment. Results: 92.3% patients with good outcome, recurrence occurred in 2 cases, airway injection in 2 cases, there wasn't death.
Diagnosis ; Surgery ; Therapeutics ; Hematoma

Acute subdural hematoma (ASH) is a first cause of mortality of cranio cerebral traumatism. The high rate of mortality 50 to 90% after surgery, confirms to the published data of foreign authours, there remains a difficulty in establishing the prognosis of the disease. This study included 148 cases of ASH after surgery for finding the following factors: mechanism of trauma, age, sex, GOS, image in CT scanner, timing trauma of surgery influencing on the final results. Good results: 37.16%; Bad results: 62.84%.
Hematoma, Subdural ; surgery ; therapeutics

6 patients with chronic subdural hematoma were operated under local anesthesia and were premedicated with analgia lidocain 2% at An Giang hospital from November 2003 to April 2004. Among them 5 patients were complication of head trauma and one of unknown etiology. 3 patients were over 70 years old (the highest was 70 and the smallest was 32); 2 patients were in a coma with GCS = 8 points, without patient was in a coma with GCS < 8 points; 1 patient had very high risk with ASA (IV) and 2 patients had very high risk with ASA (III). The surgical procedure lasted from 30 to 45 minutes for hematoma removal. All patients had good outcome after 24 hours. The duration of hospitalization were from 7 to 15 days. All of them were discharged well
Anesthesia, Local ; surgery ; Hematoma, Subdural, Chronic

Aged ; Catheter Ablation ; methods ; Female ; Hematoma ; surgery ; Humans ; Thrombosis ; surgery

Epidural hematomas are usually traumatic in origin. Non-traumatic spontaneous epidural hematoma is rare and its incidence is not known. It can occur in the presence of coagulopathy and hypotension. We report a case of spontaneous intracranial epidural hematoma following the aortic valve replacement, possibly arising from excessive anticoagulation and hypotension during ventricular fibrillation.
Aortic Valve ; Hematoma ; Hematoma, Epidural, Cranial ; Hypotension ; Incidence ; Thoracic Surgery ; Ventricular Fibrillation

Adult ; Female ; Hematoma, Epidural, Spinal ; surgery ; Humans ; Prognosis

surgery. The most common site for bone graft harvest is the anterior iliac crest. There is usually considerable cancellous bone graft available and it can be obtained with minimal morbidity. However, complications noted in iliac crest grafts include prolonged postoperative pain, hematoma and fracture, gluteal muscle weakness. Occasionally, when large amounts of bone graft are needed and previous harvest procedure had used, iliac bone harvest may be not adequate. Like the iliac crest, the greater trochanter has abundant cancellous bone and is readily accessible with acceptable morbidity. The purpose of this study was to assess the availability of cancellous bone graft from the greater trochanter, compare the quantity with that available from the anterior iliac crest, investigate anatomical hazards, and make recommendations for consistent harvest.]]>
Femur ; Hematoma ; Muscle Weakness ; Pain, Postoperative ; Surgery, Oral ; Transplants

Adult ; Hematoma, Epidural, Spinal ; etiology ; Humans ; Male ; Spinal Fractures ; complications ; surgery ; Thoracic Vertebrae ; injuries ; surgery

OBJECTIVETo explore the therapeutic methods, surgical indications and clinical practice of minimally invasive surgery on traumatic epidural hematoma (EDH).

METHODSRetrospective study was made on 135 patients with traumatic EDH admitted into our hospital from June 2002 to August 2005. Sixty-five patients were treated with mini-invasive negative pressure drainage (treatment group), 70 patients with comparable condition used traditional craniotomy (control group). The mean time of operation, average days in hospital, expenditure and prognosis of two groups were recorded and analyzed.

RESULTSThere was no significant difference in therapeutic efficacy between two groups. Patients in treatment group had a shorter hospital stay and less expenditure than those in control group.

CONCLUSIONMini-invasive negative pressure drainage is simple, effective, economical and applicable to some traumatic EDH patients.

Two cases of vertex epidural hematomas are described to illustrate their unique diagnostic and treatment problems. Due to its specific location, a correct diagnosis of the intracranial hematoma was delayed in the first case. Quantitative analysis of the hematoma volume was performed in the second case. We would like to emphasize the usefulness of the magnetic resonance imaging and quantitative analysis of vertex epidural hematoma in choosing treatment options in such patients.
Adult ; Case Report ; Hematoma, Epidural/*diagnosis/surgery ; Human ; Magnetic Resonance Imaging ; Male