Endoscopic support for the surgical treatment of chronic subdural hematomas

Abstract

Introduction: Chronic subdural hematoma is a common entity in neurosurgery. Currently, multiple therapeutic modalities are described and surgical evacuation with endoscopic support is increasingly used. Objective: To describe the surgical results of endoscopic support in patients with chronic subdural hematoma. Method: A descriptive and retrospective study was carried out, which included 31 patients, at the Hermanos Ameijeiras hospital, operated on for chronic subdural hematoma using transcranial approaches with endoscopic support. Sociodemographic, clinical, imaging, surgical and complications related to the procedure variables are described. For data analysis, absolute and relative frequencies were used. Results: The most used surgical technique was using 2 burr holes with endoscopic support (83.9 %). Total evacuation was reported in 96.8 % of patients. Postoperative complications identified (3.2 %) were: Pneumocephalus, residual hematoma, and recurrence. Conclusions: Endoscopic support in the surgical evacuation of chronic subdural hematomas constitutes a safe and effective method with a significant reduction in postoperative complications, especially in the incidence of hematoma recurrence.

Keywords

• hematoma subdural crónico
• lesiones traumáticas del encéfalo
• neuroendoscopía.