The Safety and Efficacy of Eliminating Acute Subdural Hematoma by Means of Gradual Decompression

Yingjiang Gu, Tao Xu

Department of Neurosurgery, Southwest Medical University, China

^*Correspondance to: Yingjiang Gu 

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Abstract:

Background and
Objective: Acute subdural hematoma is a common emergency in department of neurosurgery, and its fatality rate and disability rate have been high. However, in clinical practice, the standard large trauma craniotomy has encountered many clinical problems. To discuss the practicability and security of gradual decompression to remove acute subdural hematoma.
Method: 72 patients with acute subdural hematoma treated by gradual decompression were reviewed. The preoperative situation, postoperative CT findings, operative complications, GOS score and cause of death were analyzed and compared.
Results: There were 24 cases of death, including 19 cases of hernia, 3 cases of sepsis, and 2 cases of pulmonary embolism. There were no acute encephalocele in the operation, 2 cases with residual hematoma after operation >20%, and 2 cases with secondary epidural hematoma. There were no postoperative complications such as delayed intracerebral hematoma, cerebral infarction, cerebrospinal fluid leakage and meningitis, the result is superior to traditional surgery.
Conclusion: The method of step by step decompression to remove acute subdural hematoma is simple and feasible. The method not only can effectively eliminate hematoma and control intracranial pressure and also can effectively prevent a series of complications of standard large trauma craniotomy; the utility model is especially suitable for patients with closed brain injuries, and CT shows obvious midline shift.

Keywords:

Acute subdural hematoma; Standard large trauma craniotomy; Gradual decompression; Postoperative complications

Cite the Article:

Gu Y, Xu T. The Safety and Efficacy of Eliminating Acute Subdural Hematoma by Means of Gradual Decompression. World J Surg Surgical Res. 2018; 1: 1018.