None listed
Conditions
Interventions
Intervention1: TDC, BHC:
Intervention2: TWIST DRILL CRANIOSTOMY, BURR HOLE CRANIOSTOMY: STANDARD SURGICAL PROCEDURES WELL ACCEPTED
Control Intervention1: BURR HOLE CRANIOSTOMY: RANDOMIZED TRIAL COMPA
Sponsors
Dr Sunil k Singh
Eligibility
Inclusion criteria
Inclusion criteria: CT scan or MRI showing significant hemispheric subdural hematoma (>10mm thick).
Exclusion criteria
Exclusion criteria: Thin SDH (<10mm) Small/ Unilobar SDH or post craniotomy SDH Infants or cases of birth related subdural collections Radiological doubt of hygroma/ empyema Bilateral significant lesions Large acute clot component (organized hyperdensity)*
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Re-aspiration needed- to be done before discharge if patient does not reach MGS grade 0 or 1, and CT scan shows residual hematoma or air > 10mm thick; or after discharge if there is recurrence of symptoms and CT scan shows residual hematoma or air > 10mm thickTimepoint: one month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. GCS, KPS and Markwalder grade at discharge 2. Neurological grade deterioration in hospital preoperatively 3. GOS, KPS and Markwalder grade at 1 month follow-up 4. Time of surgery- prepping up to dressing 5. Amount of lavage fluid- number of 500ML saline bottles used 6. Whether effluent is clear of reddish color at closure (mild yellowish tinge acceptable) 7. Duration of hospital stay in days 8. Radiological assessment at admission, discharge and at follow-up- regarding hematoma thickness, stage, degree of atrophy and midline shift. 9. Cost of surgery- hospital charges plus consumables used till discharge 10. Complications ?respiratory, cardiac, wound infection, subdural hematoma formation, cortical damage Timepoint: one month | — |
Countries
India
Contacts
Public ContactDr Sunil K Singh
Outcome results
None listed