In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 8 ( 2023-8-1), p. e0288872-
Abstract:
Chronic subdural hematoma (CSDH) is commonly treated via surgical removal of the hematoma, placement of a routine indwelling drainage tube, and continuous drainage to ensure that the blood does not re-aggregate following removal. However, the optimal location for placement of the drainage tube remains to be determined. Objectives To aid in establishing a reference for selecting the optimal method, we compared the effects of different drainage tube placements on CSDH prognosis via a systematic review and meta-analysis of previous clinical studies. Data sources PubMed, Embase, and Cochrane databases. Study eligibility criteria We searched for clinical studies comparing the outcomes of subperiosteal/subgaleal drainage (SPGD) and subdural drainage (SDD) for CSDH published in English prior to April 1, 2022. Participants The final analysis included 15 studies involving 4,318 patients. Results Our analysis of the pooled results revealed no significant differences in recurrence rate between the SDD and SPGD groups. We also observed no significant differences in mortality or rates of postoperative complications (infection, pneumocephalus, or epilepsy) between the SDD and SPGD groups. Conclusions These results suggest that the choice of SDD vs. SPGD has no significant effect on CSDH prognosis, highlighting SPGD as an alternative treatment option for CSDH.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0288872
DOI:
10.1371/journal.pone.0288872.g001
DOI:
10.1371/journal.pone.0288872.g002
DOI:
10.1371/journal.pone.0288872.g003
DOI:
10.1371/journal.pone.0288872.g004
DOI:
10.1371/journal.pone.0288872.g005
DOI:
10.1371/journal.pone.0288872.g006
DOI:
10.1371/journal.pone.0288872.t001
DOI:
10.1371/journal.pone.0288872.s001
DOI:
10.1371/journal.pone.0288872.s002
DOI:
10.1371/journal.pone.0288872.s003
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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