Rajesh Raykar¹ and Sibhi Ganapathy²*

¹Associate Professor, Department of Neurosurgery and Spine Surgery, St. Johns Medical College Hospital, Bengaluru, India
²Assistant Professor, Department of Neurosurgery and Spine Surgery, St. Johns Medical College and Hospital, Bangalore, India

*Corresponding Author: Sibhi Ganapathy, Assistant Professor, Department of Neurosurgery and Spine Surgery, St. Johns Medical College and Hospital, Bangalore, India.

Received: June 25, 2021; Published: July 23, 2021

Abstract

Objective: To assess the feasibility of plain decompressive hemicraniectomy in the treatment of spontaneous hypertensive intracranial bleeds as a low cost and low skill alternative for decompression and hematoma evacuation.

Methodology: A retrospective cohort analysis of all the spontaneous hypertensive bleeds operated in a tertiary care center in southern India was planned, and all surgical cases were analyzed and the mortality and morbidity difference between procedures employed were understood.

Results: Of the 36 patients operated with decompression with hematoma evacuation a high mortality rate of 26 cases was noticed (72.22%) which was significantly more than plain decompressive hemicraniectomy (8 deaths out of 20patients or 40%) was seen across all patients irrespective of preoperative GCS or comorbidities.

Conclusion: Decompressive hemicraniectomy is a viable alternative to decompression with hematoma evacuation. This is especially relevant in rural settings where expertise and equipment are in short supply and transport to higher centres implies a delay in surgery which is often associated with significant morbidity and mortality.

Keywords: Decompressive Hemicraniectomy; Decompression with Hematoma Evacuation; Spontaneous Intracranial Hematomas; Rural Neurosurgery

References

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Citation

Citation: Rajesh Raykar and Sibhi Ganapathy. “A Comparative Study Between Decompressive Hemicraniectomy vs. Decompression with Hematoma Evacuation for Spontaneous Intracranial Hematomas Requiring Surgery in a Tertiary Care Center in Bengaluru, South India. Lessons for Rural Neurosurgeons”. Acta Scientific Neurology 4.8 (2021): 45-49.

Copyright

Copyright: © 2021 Rajesh Raykar and Sibhi Ganapathy. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.