Published in:
01-09-2020 | Subdural Hematoma | Technical Note - Brain trauma
Drain type and technique for subdural insertion after burr hole evacuation of chronic subdural hematoma
Published in: Acta Neurochirurgica | Issue 9/2020
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Strengths and limitations of subdural versus subperiosteal drain location after burr hole evacuation of chronic subdural hematoma (CSDH) are currently debated. The safety of subdural placement of a drain has been questioned in a recent study by Soleman et al. from 2019, showing a misplacement rate of 17%, and these results have been further highlighted by the same authors, with a slightly lower misplacement rate of 15.8%, in the recent paper “When the drain hits the brain.” The safety of subdural drainage for CSDH depends to a high degree on type of drain and surgical technique. In this technical note, we describe drain type and technique for drain placement which is standardized in Denmark.