ArticleWorld journal of surgery2018
Burr-Hole Craniostomy for Chronic Subdural Hematomas by General Surgeons in Rural Kenya.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency Neurosurgery Performed by General Surgeons: A Systematic Review.World journal of surgery · 2022Pooled it
- Therapeutic efficacy of drilling drainage combined with intraoperative middle meningeal artery occlusion in the management of chronic subdural hematoma: a clinical study.Neurosurgical review · 2024Trial
- Teleneurosurgery between Greenland and Denmark.BMJ global health · 2025Article
- Burr hole as a management for extra axial hematomas in a low-resource setting.International journal of surgery case reports · 2023Article
- Emergency Craniotomy and Burr-Hole Trephination in a Low-Resource Setting: Capacity Building at a Regional Hospital in Cambodia.International journal of environmental research and public health · 2022Article
- Awake surgery in sitting position for chronic subdural hematoma.Acta neurochirurgica · 2021Article
- Outcomes of craniotomies for chronic subdural hematoma in Sierra Leone.The Pan African medical journal · 2021Article
- Outcome of Chronic Subdural Hematoma Treated with Single Burr Hole Under Local Anesthesia.Ethiopian journal of health sciences · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionChronic subdural hematoma (cSDH) is a common condition that causes significant morbidity and mortality. In rural sub-Saharan Africa, there are very few neurosurgeons. Yet, cSDH is treatable by relatively simple surgical intervention with potential for rapid clinical improvement.
methodsWe conducted a retrospective chart review of all patients with cSDH who underwent burr-hole trephination at Tenwek Hospital, Kenya, between July 2014 and July 2016. We extracted and compared the clinical presentation, risk factors, operative details, and outcomes.
resultsA total of 119 patients were identified with a mean age of 61.3 years. The majority were men (80%). The main predisposing factors were trauma (54.6%) and alcohol intake (34.4%). Patients were generally managed with two burr-holes, irrigation, and a subdural drain, remaining for a median of 2 days. Operations were assisted by general surgery residents under direct supervision of senior residents (46), general surgeons (65), and neurosurgeons (8). Complications included recurrence (5.2%), subdural empyema (2.5%), postoperative seizures (3.4%), and mortality (6.7%). Improvement of symptoms was noted in 91% of all patients.
conclusionOperative management of cSDH can be safely performed in rural facilities by general surgeons familiar with the procedure and with the institutional resources. The majority of patients had satisfactory outcomes.
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Registered trials
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