Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS)

Nafees Ahmad Khan; Syed Arif Hussain; Umer Sajjad; Ghayur Abbas; Sajid Nazeer Bhatti

doi:doi:10.11648/j.ijn.20220602.21

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Surgical Outcome of Expansile Duraplasty VS Multiple Dural Slits in Patients with Traumatic Acute Sub-Dural Hematoma in Terms of Glasgow Outcome Scale (GOS)

Nafees Ahmad Khan, Syed Arif Hussain, Umer Sajjad, Ghayur Abbas, Sajid Nazeer Bhatti

Published in International Journal of Neurosurgery (Volume 6, Issue 2)

Received: 8 August 2022 Accepted: 12 October 2022 Published: 29 October 2022

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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).

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

Keywords

Traumatic Brain Injury, Subdural Hematoma, Duraplasty, Expansile Duraplasty, Multiple Dural Slits, Glasgow Outcome Scale

References

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[2]	Khan B, Afridi EA, Khan B, Khan SA, Aurangzeb A, Khan AA, Khan W, Bhatti SN. Decompressive Craniectomy for Acute Subdural Haematoma With Expansile Duraplasty Versus Dural-Slits. Journal of Ayub Medical College Abbottabad. 2016 Jun 1; 28 (2): 285-8.
[3]	Prahaladu P, Satyavara Prasad K, Rajasekhar B, Satyanarayana Reddy K. Clinical Study of Acute Subdural Haematoma—A Level I Trauma Care Centre Experience. International Journal of Research in Medical Sciences. 2017; 5: 857- 62.
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[5]	Khan AA. Comparison of Decompressive Craniectomy and Multi-Dural Stabs with Decompressive Craniectomy and Open-Dural Flap Method, in the Treatment of Acute Subdural Hematomas. J Rawalpindi Med Coll. 2017; 21 (4): 339-43.
[6]	Abbas G, Khan RU, Zubair UB, Bhatti SN. Comparison of Outcome of Decompressive Craniectomy with Wide Dural Flap Duraplasty Versus Dural Slits in the Management of Post Traumatic Acute Subdural Hematoma in Terms of Post-operative CSF Leak. Pakistan Journal Of Neurological Surgery. 2019 Sep 26; 23 (3): 163-9.
[7]	Uddin K, Hossain SS, Salam MA, Haque MA, Rahman MM, Kabir AG, Talukder MM. Comparison of Decompressive Craniotomy by Wide Opening of Dura with Multidural Fenestrations Technique among Acute Subdural Hematoma Patients: A Randomized Control Trial. Journal of National Institute of Neurosciences Bangladesh. 2018 Dec 10; 4 (2): 75-81.
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[13]	Chibbaro S, Di Rocco F, Mirone G, Fricia M, Makiese O, Di Emidio P, et al. Decompressive craniectomy and early cranioplasty for the management of severe head injury: a prospective multi-center study on 147 patients. World Neurosurg. 2010; 75 (3-4): 558-62.
[14]	Ban SP, Son YJ, Yang HJ, Chung YS, Lee SH, Han DH. Analysis of Complications Following Decompressive Craniectomy for Traumatic Brain Injury. J Korean Neurosurg Soc. 2010; 48 (3): 244-50.
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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

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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

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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

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@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}
}

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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  -

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Author Information

Nafees Ahmad Khan

Department of Neurosurgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
Syed Arif Hussain

Department of Neurosurgery, Provincial Headquarters Hospital, Gilgit Baltistan, Pakistan
Umer Sajjad

Basic Health Unit Khazana, Peshawar, Health Department, Khyber Pakhtunkhwa, Pakistan
Ghayur Abbas

Department of Neurosurgery, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK
Sajid Nazeer Bhatti

Neurosurgery Department, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

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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

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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

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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

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@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}
}

Copy | Download

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  -

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