Comparison of Efficacy of Decompressive Craniectomy By Multiple Dural Stabs Versus Open Dural Flap For The Evacuation of Acute Subdural Hematoma

Authors

  • Ali Ahmed Department of Neurosurgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Junaid Mushtaq Department of Neurosurgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
  • Awais Ali Khan Department of Surgery, Combined Military Hospital Tarbela/National University of Medical Sciences (NUMS) Pakistan
  • Babar Shamim Department of Neurosurgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
  • Amjad Saeed Abbasi Department of Neurosurgery, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.3828

Keywords:

Acute subdural hematoma, Decompressive craniectomy, Multiple dural stabs, Open dural flap

Abstract

Objective: to study the functional outcome of the subjects of acute subdural hematoma subjected to decompressive craniectomy by multiple dural stabs versus open dural flap using the Glasgow outcome score.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Neurosurgery Combined Military Hospital, Rawalpindi Pakistan, from Jan to Jun 2019.

Methodology: Eighty patients with acute subdural hematoma were recruited for this study and equally divided into two groups. In Group-A, decompressive craniectomy was performed using multiple dural stabs, whereas patients of Group-B had open dural flap craniectomy.

Results: The mean age of the patients was 30.9±9.98 years in Group-A and 31.2±8.9 years in Group-B. A comparison of functional outcomes based on the Glasgow Outcome Score on the 14th day showed that 62.5% of patients had an unfavourable outcome in Group-A, while 90.60% had the same in Group-B. On the other hand, 37.7% of Group-A patients had a favourable outcome, whereas 9.6% had a favourable recovery in Group-B (p-value : 0.001).

Conclusion: Acute subdural hematoma treated with multiple dural stabs technique of decompressive craniectomy has a better outcome as compared to open dural flap technique in terms of functional status of the patient.

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Published

27-04-2024

How to Cite

1.
Ahmed A, Muhammad Junaid Mushtaq, Awais Ali Khan, Babar Shamim, Amjad Saeed Abbasi. Comparison of Efficacy of Decompressive Craniectomy By Multiple Dural Stabs Versus Open Dural Flap For The Evacuation of Acute Subdural Hematoma. Pak Armed Forces Med J [Internet]. 2024 Apr. 27 [cited 2024 May 24];74(2):296-9. Available from: https://pafmj.org/PAFMJ/article/view/3828

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