Objective: To compare the post-operative Glasgow Outcome Scale (GOS) of expansile duraplasty vs multiple dural slits in patients with traumatic Acute Sub Dural Hematoma. Duration: 20.11.2019 to 19.05.2002 (6months). Setting: Department of Neurosurgery, PIMS, Islamabad. Subject and Methods: The study design was a randomized control trial. A total of 70 patients presented to our department with traumatic brain injury (acute subdural hematoma) divided into two groups through the lottery method and meeting our inclusion criteria were enrolled through the nonprobability consecutive sampling technique. Results: Out of 70 patients, Group A (wide dural wide flap and duraplasty) was found in 15 (42.86%) patients, while Group B (multiple dural slits) was found in 04 (11.43%) patients (p-value=0.003).Conclusion: This study concluded that favorable outcome is better in such cases who underwent expansile duraplasty in patients with traumatic acute sub dural hematoma as compared to patients who underwent multiple dural slits in traumatic acute sub dural hematoma. Therefore, we recommend that expansile duraplasty should be used as a prime technique in patients with traumatic acute sub dural hematoma for favorable outcome in terms of Glasgow Outcome and to reduce the overall morbidity and mortality of our general population presented with traumatic brain injury (traumatic acute sub dural hematoma).
Published in | International Journal of Neurosurgery (Volume 6, Issue 2) |
DOI | 10.11648/j.ijn.20220602.21 |
Page(s) | 94-98 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Traumatic Brain Injury, Subdural Hematoma, Duraplasty, Expansile Duraplasty, Multiple Dural Slits, Glasgow Outcome Scale
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APA Style
Nafees Ahmad Khan, Syed Arif Hussain, Umer Sajjad, Ghayur Abbas, Sajid Nazeer Bhatti. (2022). Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS). International Journal of Neurosurgery, 6(2), 94-98. https://doi.org/10.11648/j.ijn.20220602.21
ACS Style
Nafees Ahmad Khan; Syed Arif Hussain; Umer Sajjad; Ghayur Abbas; Sajid Nazeer Bhatti. Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS). Int. J. Neurosurg. 2022, 6(2), 94-98. doi: 10.11648/j.ijn.20220602.21
AMA Style
Nafees Ahmad Khan, Syed Arif Hussain, Umer Sajjad, Ghayur Abbas, Sajid Nazeer Bhatti. Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS). Int J Neurosurg. 2022;6(2):94-98. doi: 10.11648/j.ijn.20220602.21
@article{10.11648/j.ijn.20220602.21, author = {Nafees Ahmad Khan and Syed Arif Hussain and Umer Sajjad and Ghayur Abbas and Sajid Nazeer Bhatti}, title = {Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS)}, journal = {International Journal of Neurosurgery}, volume = {6}, number = {2}, pages = {94-98}, doi = {10.11648/j.ijn.20220602.21}, url = {https://doi.org/10.11648/j.ijn.20220602.21}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20220602.21}, abstract = {Objective: To compare the post-operative Glasgow Outcome Scale (GOS) of expansile duraplasty vs multiple dural slits in patients with traumatic Acute Sub Dural Hematoma. Duration: 20.11.2019 to 19.05.2002 (6months). Setting: Department of Neurosurgery, PIMS, Islamabad. Subject and Methods: The study design was a randomized control trial. A total of 70 patients presented to our department with traumatic brain injury (acute subdural hematoma) divided into two groups through the lottery method and meeting our inclusion criteria were enrolled through the nonprobability consecutive sampling technique. Results: Out of 70 patients, Group A (wide dural wide flap and duraplasty) was found in 15 (42.86%) patients, while Group B (multiple dural slits) was found in 04 (11.43%) patients (p-value=0.003).Conclusion: This study concluded that favorable outcome is better in such cases who underwent expansile duraplasty in patients with traumatic acute sub dural hematoma as compared to patients who underwent multiple dural slits in traumatic acute sub dural hematoma. Therefore, we recommend that expansile duraplasty should be used as a prime technique in patients with traumatic acute sub dural hematoma for favorable outcome in terms of Glasgow Outcome and to reduce the overall morbidity and mortality of our general population presented with traumatic brain injury (traumatic acute sub dural hematoma).}, year = {2022} }
TY - JOUR T1 - Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS) AU - Nafees Ahmad Khan AU - Syed Arif Hussain AU - Umer Sajjad AU - Ghayur Abbas AU - Sajid Nazeer Bhatti Y1 - 2022/10/29 PY - 2022 N1 - https://doi.org/10.11648/j.ijn.20220602.21 DO - 10.11648/j.ijn.20220602.21 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 94 EP - 98 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20220602.21 AB - Objective: To compare the post-operative Glasgow Outcome Scale (GOS) of expansile duraplasty vs multiple dural slits in patients with traumatic Acute Sub Dural Hematoma. Duration: 20.11.2019 to 19.05.2002 (6months). Setting: Department of Neurosurgery, PIMS, Islamabad. Subject and Methods: The study design was a randomized control trial. A total of 70 patients presented to our department with traumatic brain injury (acute subdural hematoma) divided into two groups through the lottery method and meeting our inclusion criteria were enrolled through the nonprobability consecutive sampling technique. Results: Out of 70 patients, Group A (wide dural wide flap and duraplasty) was found in 15 (42.86%) patients, while Group B (multiple dural slits) was found in 04 (11.43%) patients (p-value=0.003).Conclusion: This study concluded that favorable outcome is better in such cases who underwent expansile duraplasty in patients with traumatic acute sub dural hematoma as compared to patients who underwent multiple dural slits in traumatic acute sub dural hematoma. Therefore, we recommend that expansile duraplasty should be used as a prime technique in patients with traumatic acute sub dural hematoma for favorable outcome in terms of Glasgow Outcome and to reduce the overall morbidity and mortality of our general population presented with traumatic brain injury (traumatic acute sub dural hematoma). VL - 6 IS - 2 ER -