Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas
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The organization of a multicenter survey about chronic subdural hematomas has triggered the discussion on different surgical techniques of burr hole evacuation. Such a standard operation gives neurosurgeons plenty of scope for creating their own way.
The procedure presented is one burr hole with a closed drainage system. In detail, each single step is enrolled: the planning of the burr hole, positioning, direction of skin incision, opening of the dura, drain positioning, channeling through the galea, and postoperative care.
We present a thorough summary that could serve as a common standard and as a basis for comparison of future trials.
KeywordsChronic Subdural hematoma Burr hole Technique
Conflict of interest
This video shows the surgery for the evacuation of a chronic subdural hematoma. By performing one burr hole with a closed drainage system, a standardized procedure is proposed. Each single step highlighted in the article is presented. (MPG 23158 kb)
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