Comparing an Endoscopy-Guided Removal Method of Nontrumatic Intra-cerebral Hemorrhage with Open Craniotomy

Abstract

Background: Nontrumatic intracerebral hemorrhage (ICH) is one of the results of hypertension. The treatment is surgery for some patients; but the best type of surgery is controversial. This study aimed to compare an endoscopy-guided method with open craniotomy removal of nontrumatic intracerebral hemorrhage. Methods: In this clinical trial study, patients with nontrumatic intracerebral hemorrhage referred to Kashani Hospital in Isfahan from June 2009 till June 2010 were assessed. One group (15 patients) underwent open craniotomy surgery and the other (15 patients) underwent endoscopy-guided surgery. Finding: The mean length of stay in hospital (9.2 ± 9.4 vs. 20.5 ± 14.6 days), the mean length of surgery (1.6 ± 51.6 vs. 2.2 ± 36.5 hours), and incidence of systemic infection (6.6% vs. 60%) was statistically lower in endoscopy-guided surgery group. Also, hematoma was deranged better in this group (after surgery intracerebral hemorrhage volume of 4.7 ± 3.9 vs. 10.8 ± 10.5 cc) and after surgery GCS (11.8 ± 7.5 vs. 8.2 ± 3.2) was higher in them compared to open craniotomy surgery group. Conclusion: Endoscopy-guided method removal of nontrumatic intracerebral hemorrhage is a more effective surgery method compare to open craniotomy surgery.

Keywords

• Endoscopy
• Surgery treatment
• Less invasive surgery