TY - JOUR
T1 - Intraoperative Irrigation and Risk of Chronic Subdural Hematoma Recurrence
AU - Schack, Anders
AU - Rønn Jensen, Thorbjørn Søren
AU - Jensen, Mette Haldrup
AU - Miscov, Rares
AU - Sindby, Ann Kathrine
AU - Fugleholm, Kåre
AU - Bergholt, Bo
AU - Bjarkam, Carsten Reidies
AU - Poulsen, Frantz Rom
AU - Grønhøj, Mads Hjortdal
N1 - Copyright © Congress of Neurological Surgeons 2023. All rights reserved.
PY - 2024/2
Y1 - 2024/2
N2 - BACKGROUND AND OBJECTIVES: In most neurosurgical centers, irrigation is an essential part of the surgical procedure for chronic subdural hematoma (CSDH). However, it is unknown whether the volume of irrigation fluid affects the risk of CSDH recurrence. This study aimed to investigate a potential association between the volume of irrigation fluid used during burr hole evacuation of CSDH and the risk of CSDH recurrence.METHODS: This study is a subanalysis of 2 randomized trials (Drain Time & Drain Time 2) designed to investigate the effect of drainage duration on the recurrence of CSDH. Intraoperative irrigation volume was measured, and patients were followed for 90 days for recurrent CSDH.RESULTS: A total of 525 patients with CSDH were included. There was no significant difference in the volume of irrigation fluid used between patients with recurrence (mean = 938 mL, SD = ±552) and without recurrence (mean = 852 mL, SD = ±454) (P-value = .15). Patients with recurrent CSDH had larger primary CSDH volumes (mean = 134 cm3, SD = ±69) than patients without recurrence (mean = 119 cm3, SD = ±58) (P = .04). Multiple logistic regression analysis revealed no association between irrigation volume and recurrence, also when stratified for hematoma size.CONCLUSION: There was no significant association between irrigation volume and recurrent CSDH within 90 days in patients undergoing burr hole surgery for CSDH.
AB - BACKGROUND AND OBJECTIVES: In most neurosurgical centers, irrigation is an essential part of the surgical procedure for chronic subdural hematoma (CSDH). However, it is unknown whether the volume of irrigation fluid affects the risk of CSDH recurrence. This study aimed to investigate a potential association between the volume of irrigation fluid used during burr hole evacuation of CSDH and the risk of CSDH recurrence.METHODS: This study is a subanalysis of 2 randomized trials (Drain Time & Drain Time 2) designed to investigate the effect of drainage duration on the recurrence of CSDH. Intraoperative irrigation volume was measured, and patients were followed for 90 days for recurrent CSDH.RESULTS: A total of 525 patients with CSDH were included. There was no significant difference in the volume of irrigation fluid used between patients with recurrence (mean = 938 mL, SD = ±552) and without recurrence (mean = 852 mL, SD = ±454) (P-value = .15). Patients with recurrent CSDH had larger primary CSDH volumes (mean = 134 cm3, SD = ±69) than patients without recurrence (mean = 119 cm3, SD = ±58) (P = .04). Multiple logistic regression analysis revealed no association between irrigation volume and recurrence, also when stratified for hematoma size.CONCLUSION: There was no significant association between irrigation volume and recurrent CSDH within 90 days in patients undergoing burr hole surgery for CSDH.
UR - http://www.scopus.com/inward/record.url?scp=85181761466&partnerID=8YFLogxK
U2 - 10.1227/ons.0000000000000941
DO - 10.1227/ons.0000000000000941
M3 - Journal article
C2 - 37819102
SN - 2332-4252
VL - 26
SP - 203
EP - 212
JO - Operative neurosurgery
JF - Operative neurosurgery
IS - 2
ER -