Comparison of three surgical techniques in management of subdural chronic

Descripción de las tres técnicas quirúrgicas más utilizadas en el manejo del hematoma subdural crónico

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Carlos Alberto Velasco López
Augusto Muñoz Caicedo
Laura Yulieth Santamaría Castillo
Laura Catalina Ruiz Mazuera
Nathalie Valencia Amaya
Abstract

Objective. We aim to compare the three surgical techniques most commonly used in the management of Chronic Subdural Hematoma (HSDC). Methodology.  A cross- sectional descriptive study performed in 63 patients with diagnosis of CSDH and intervened surgically from January 2013 to February 2016. The results were analyzed by the statistical package SPSS-19. Results. The trepano-drill technique was the most used (88,9%) with the left hemisphere more affected (43.4%), also it had some lower post-surgical complications. The majority of patients obtained a Karnofsky score between 100 and 70 points. Conclusion.  Draining of the chronic subdural hematoma using trepano-Drill technique showed more advantages over trephine and conventional craniotomy, which made it the best option in the management of this event.

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Author Biographies / See

Carlos Alberto Velasco López, Universidad del Cauca

Neurosurgeon, Fellow in spine surgery, professor at the Universidad del Cauca, Colombia.

 

Augusto Muñoz Caicedo, Universidad del Cauca

Phonoaudiólogo, magister in Public Health, associate professor of the Universidad del Cauca, Colombia.

Laura Yulieth Santamaría Castillo, Universidad del Cauca

Students XIII semester of Medicine, Universidad del Cauca, Colombia.

Laura Catalina Ruiz Mazuera, Universidad del Cauca

Student XIII semester of Medicine, Universidad del Cauca, Colombia.

Nathalie Valencia Amaya, Universidad del Cauca

Student XIII semester of Medicine, Universidad del Cauca, Colombia.

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