What is it about?

Chronic subdural haematoma (CSDH), is a common neurosurgical disorder that is associated with morbidity and mortality affecting the ageing population. The aim is to present the treatment experience of CSDH patients treated with a technique that combines the classical single burr-hole irrigation and the continuous closed system drainage: The Closed System Irrigation & Drainage (CSID) technique.

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Why is it important?

closed system irrigation and drainage technique with a sub-periosteal drain seems to be a simple, effective and safe procedure for treatment of CSDH. It’s well tolerated under local anaesthesia for patients with high co-morbidities and these preliminary results indicated it may potentially be a better option for treatment of CSDH with a lower rate of post-operative complications.

Perspectives

I hope that sharing my experience in modification of the CSDH surgical evacuation technique would help in improving the outcome and reduce the risk of complications of this condition.

Haider Kareem
Imperial college nhs healthcare trust

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This page is a summary of: A closed system irrigation & drainage technique for surgical evacuation of chronic subdural haematomas, F1000Research, May 2018, Faculty of 1000, Ltd.,
DOI: 10.12688/f1000research.14932.1.
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