• Acta neurochirurgica · Mar 2015

    Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas.

    • Stephan Emich, Manfred Dollenz, and Peter A Winkler.
    • Department of Neurosurgery, Christian Doppler Klinik, Paracelsus Medical University, Ignaz Harrer Str. 79, 5020, Salzburg, Austria, s.emich@salk.at.
    • Acta Neurochir (Wien). 2015 Mar 1; 157 (3): 497-9.

    BackgroundThe 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.MethodsThe 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.ConclusionsWe present a thorough summary that could serve as a common standard and as a basis for comparison of future trials.

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