ESTUDIO COMPARATIVO DE ABORDAJE QUIRÚRGICO DE PACIENTES CON HEMATOMA SUBDURAL CRÓNICO: CRANEOTOMÍA MÍNIMA (MINI-TREPANACIÓN) Y CRANEOTOMÍA CONVENCIONAL (TREPANACIÓN)EN EL HOSPITAL ALCÍVAR. 2013-2017

Abstract

Introduction: The following non-experimental, cross-sectional, observational, retrospective, and descriptive study with a qualitative approach seeks to compare the techniques of minimum craniotomy (twistdrill) and conventional craniotomy (trepanation) as a surgical approach in patients with chronic subdural hematoma (HSDC). The HSDC is one of the most common neurosurgical conditions, the most common cause of this condition is a previous trauma that has usually gone unnoticed by the patient. Method and Materials: The sample of the following study, was composed of a total of 52 patients, of the total of patients, 39 were male (75%) and 13 were female (25%). The conventional craniotomy was performed in 31 of the patients diagnosed with HSDC (40.38%), and in the other 21 patients, mini-trepanation was performed. (59.62%). Within the complications, in a total of 9.62% were found: Pneumocephalus in a 3.85%, Infection (specifically a ventriculitis) Hemiparesis and finally a Recurrent HSDC in a 1.92% each. Results: In turn, it must be taken into account that in 59.62% of cases in which the minimum craniotomy was performed, there were no complications. While in the 40.38% that were treated by conventional craniotomy there was a 16.1% of those patients who presented complications. Conclusion: Due to the results of the following study, it is concluded that the minimum craniotomy is emerging as the surgical approach technique more efficient than the conventional craniotomy in the management of HSDC, due to the absence of postsurgical complications.