Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Surgical management of spontaneous intracerebral hemorrhage (ICH) includes decompressive craniectomy alone, craniectomy and evacuation of hematoma, endoscopic aspiration of hematoma, stereotactic aspiration of hematoma. 4‐5 Present study was aimed to study clinical experience in surgical modalities of spontaneous intracerebral hemorrhage. Present study was single‐center, prospective, observational study, conducted in patients admitted with Spontaneous supratentorial intracerebral hemorrhage underwent various surgical modalities (Decompressive craniotomy, craniotomy and evacuation of hematoma, endoscopic evacuation of hematoma). In our study decompressive craniotomy was done in 25 patients, followed by decompressive craniotomy with evacuation of hematoma in 19 patients and endoscopic evacuation of hematoma in 16 patients. 22 patients presented with capsuloganglionic region bleed, 21 patients presented with capsuloganglionic with lobar extension and 17 patients presented with lobar bleed. In our study, mean GOS among various modalities was different in decompressive craniotomy (2.64±1.55) DC+Evacuation (3.84±0.76) and endoscopic evacuation (1.7±0.42) difference was statistically significant (p‐0.023). Mean GOS among various modalities was different in decompressive craniotomy (4.12±1.92) DC+Evacuation (2.68±1.0) and endoscopic evacuation (3.38±2.24) difference was statistically significant (p‐0.037). Majority complications noted in DC+Evacuation (11 patients) followed by decompressive craniotomy (7 patients) and Endoscopic Evacuation (6 patients). Complications observed were rebleeding (9 patients) pneumonia (6 patients), CSF leak (6 patients) and wound infection (3 patients). Mortality rate in Decompressive craniectomy was 40% and in patients with Decompressive craniectomy with Evacuation of hematoma was 36.8% and in Endoscopic evacuation of hematoma was 31.2%. Decompressive craniectomy and evacuation of hematoma had good GOS and MRS outcome at discharge compared to other two groups in patients with >60 m volume and deep‐seated location bleeds.
How to cite this article:
Tanmay Bhavthankar, J.V. S.S.K. Chaitanya, Manbachan Singh Bedi, A. Vimala and K. Jagadeesh Babu. Clinical Experience in Surgical Modalities of Spontaneous Intracerebral Hemorrhage.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.42.47
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.42.47