Abstract Details

Title A Comparison of Subperiosteal or Subgaleal Drainage with Subdural Drainage on The Outcome of Chronic Subdural Hematoma Surgery

Topic Neuro-rehabilitation

Presentation(s) P7 - Poster Session 7 (11:45 AM-12:45 PM)

Poster/Presentation
Number 11-012

Objective This study aimed to compare the outcome of SPGD versus SDD in surgically treated patients of CSDH.

Background Chronic subdural hematoma (CSDH) is a common neurosurgical condition, especially in the elderly. There are various means to treat CSDH with controversies in operative management. One of the options is whether the placement of subperiosteal /subgaleal position drain (SPGD) or subdural drain (SDD) affects the outcome or not.

Design/Methods We searched PubMed, Cochrane, Scopus, and Web of Science (WOS) till January 2023. We included observational and controlled trials comparing drain positions following the evacuation of CSDH.

Results Our analysis included 15 studies involving 4070 patients, 1863 (45.8%) underwent SPGD, and 2207 (54.2%) underwent SDD. The pooled overall recurrence rates demonstrated that the use of an SPGD was associated with a lower recurrence rate compared with the use of an SDD (OR= 0.81; 95% CI [0.66, 1], P-value= 0.05), Pooled results were homogenous (P-value= 0.25, I2= 18%). The pooled overall analysis estimated that the use of an SPGD was associated with a lower brain injury rate compared with the use of an SDD (OR= 0.53; 95% CI [0.30, 0.93], P-value= 0.03), Pooled results were homogenous (P-value= 0.67, I2= 0) No significant differences were identified between the SPD and SDD groups in terms of surgical infection rate (P-value= 0.97), mortality rate (P-value= 0.19), favorable outcome rates (mRS score 0 to 3) (P-value= 0.83), pneumocephalus rate (P-value= 0.98), and seizure rate (P-value= 0.85).

Conclusions Craniotomy with SPGD can be recommended as an effective and safe surgical procedure for CSDH patients. It has a lower recurrence rate and reduced incidence of postoperative brain injuries. It is also, technically easy, and has no direct contact with brain parenchyma.

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Authors/Disclosures
Ahmed Negida, MD, PhD (Virginia Commonwealth University) PRESENTER	Dr. Negida has nothing to disclose.
Ibraheem Alkhawaldeh	Ibraheem Alkhawaldeh has nothing to disclose.
Ibrahim Serag, MD	Dr. Serag has nothing to disclose.
Mohamed Abouzid	Mohamed Abouzid has nothing to disclose.
Aboalmagd Hamdallah	No disclosure on file
Mohammad Al-Jafari	No disclosure on file
Mariam Abdelhady (October 6 University, Faculty of Medicine)	Ms. Abdelhady has nothing to disclose.
Ahmad Aljbaly (Jordan University of Science & Technology)	Mr. Aljbaly has nothing to disclose.
Abdelrhman Khattab	No disclosure on file

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