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
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
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: © 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.