Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Chronic subdural hematoma (CSDH) poses significant challenges in treatment due to high recurrence rates and variable efficacy of surgical interventions. While traditional methods such as burr‐hole evacuation are commonly used, there is ongoing exploration of newer techniques like endoscopic evacuation. This study aims to evaluate the effectiveness and safety of neuroendoscopic surgery for CSDH. A prospective study was conducted over three years, involving 43 adult patients with CSDH scheduled for neuroendoscopic surgery. Data on demographics, medical history, hematoma characteristics, surgical techniques, intraoperative findings, complications and postoperative outcomes were collected. Patients were followed up for six months post‐surgery. The study cohort comprised predominantly elderly patients, with trauma being the leading cause of CSDH. Neuroendoscopic surgery resulted in successful hematoma evacuation, with a median operative time of 107 minutes. Postoperative outcomes were favorable, with a decrease in midline shift and minimal recurrence. Complications were rare, with most patients discharged to rehabilitation facilities or home. Neuroendoscopic surgery offers a safe and effective alternative for evacuating CSDH, particularly in selected patients. While further research is needed to compare its efficacy with traditional methods, this technique shows promise in reducing complications and improving outcomes.
How to cite this article:
Shishram Jangir, Anand Sharma and Avinash Sharma. Endoscopic Evacuation of Chronic Subdural Hematoma.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.421.427
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.421.427