logo
Volume 3, Issue 1 (2014)                   J Police Med 2014, 3(1) | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zaree E, Hoshmandi F, Mashhadinejad H. Comparison the Outcomes of Craniotomy & Duraplasty Versus Craniotomy & Lobectomy& Duraplasty Operations in Acute Traumatic Subdural Hematoma. J Police Med 2014; 3 (1)
URL: http://jpmed.ir/article-1-227-en.html
1- Specialist Neurosur-geon,Mashhad Samenalaeme Hospital, Mashhad, Iran. , zaree861@yahoo.com
2- Specialist Neurosurgeon, Mashhad Ghaem Hospital, Mashhad, Iran.
3- Anesthesiologist, Mashhad Ghaem Hospital, Mashhad, Iran.
English Extended Abstract:   (9144 Views)

Background: Acute and resistant rise in ICP is a cause of permanent disability in acute traumatic subdural hematoma. The objective of this study is to compare outcomes of two methods of decompressive surgery in acute traumatic subdural hematoma. Materials and Methods: This study performed from March 2010 to June 2011 in Kamyab Hospital of Mashhad University of Medical Science, and patients who underwent surgical treatment divided to Craniotomy & Duraplasty (Group I) and Craniotomy & Duraplasty & Lobectomy (Group II). Glascow coma scale (GCS) were assessed in pre- operative evaluation in addition to mortality rate and Glascow Outcome Scale (GOS) at 3 months. Statistical analysis was performed with SPSS18 by Chi- Square and T- student and Mann– Whitney test. Result: 87 patients with acute traumatic subdural hematoma contributed in this study. There were 52 patients in group I and 35 patients in group II There were not any significant relationship in preoperative GCS (p= 0.93), in 3 months postoperative GOS (p= 0.35) and Mortality rate (p= 0.48) between two groups. There were not any statistical relation between preoperative GCS and postoperative GOS in group I (p= 0.15) and group II (p= 0.07). There was a statistical relationship between preoperative GCS and mortality rate in group I (p= 0.04) but not in group II (p= 0.63). Conclusion: Postoperative outcome after 3 months were similar in Craniotomy & Duraplasty and Craniotomy & Duraplasty & Lobectomy operations. Patients after Craniotomy & Duraplasty & Lobectomy operation discharged later from ICU and hospital.

Full-Text [PDF 571 kb]   (1970 Downloads)    
Article Type: Original Research |
Received: 2014/01/13 | Accepted: 2014/09/4 | Published: 2014/09/4

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.